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Right arrow Trachea and bronchi

Ann Thorac Surg 2004;78:e85-e86
© 2004 The Society of Thoracic Surgeons

Case report

Treatment of Iatrogenic Injury of Membranous Trachea With Intercostal Muscle Flap

Ilias A. Kouerinis, MDa, Antonios E. Loutsidis, MDa, Panagiotis A. Hountis, MDa, Eustratios E. Apostolakis, MDa, Ion P. Bellenis, MD, PhDa,*

a Department of Cardiothoracic Surgery, Evangelismos Hospital, Athens, Greece

Accepted for publication January 22, 2004.

* Address reprint requests to Dr Bellenis, King George 24, 11635 Athens, Greece
ionbellenis{at}hotmail.com

Iatrogenic injuries of the membranous trachea are rare but potentially lethal, and most commonly require surgical treatment. Such injuries occur intraoperatively during specific thoracic surgery procedures or are associated with endotracheal anesthesia. Special technical difficulties in managing them surgically are encountered when lacerations are in proximity to the rigid rings of the trachea because of the lack of membranous tissue distal to the tear. We describe our technique used in a patient with such an iatrogenic tracheal injury during resection of invasive lung carcinoma.






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