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Right arrow Trachea and bronchi

Ann Thorac Surg 2005;79:687-689
© 2005 The Society of Thoracic Surgeons

Case report

Endoscopic Carbon Dioxide Laser Division of Congenital Complete Tracheal Rings: A New Operative Technique

W. Andrew Clement, FRCSa,*, Neil K. Geddes, FRCSa, Crispin Best, FRCAb

a Department of Otolaryngology, Glasgow, United Kingdom
b Department of Anesthesia, Royal Hospital for Sick Children, Yorkhill Hospital, Glasgow, United Kingdom

Accepted for publication September 5, 2003.

* Address reprint requests to Dr Clement, Department of Otolaryngology, Royal Hospital for Sick Children, Yorkhill Hospital, Glasgow G3 8SJ, UK
wacxh{at}hotmail.com

A carbon dioxide laser was used through a bronchoscope to split the posterior aspect of complete tracheal rings in the distal trachea of a 16-month-old boy previously palliated for cyanotic congenital heart disease. After laser division of the complete tracheal rings, the patient was successfully extubated. Subsequently, the boy had granulation tissue develop, which required bronchoscopic resection, and then severe posterior tracheal impingement developed from the esophageal herniation, which required placement of a distal tracheal stent. Although unsuccessful in this case, carbon dioxide laser division of complete tracheal rings may be a safe and effective method of treating congenital tracheal stenosis in selected cases.




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[Abstract] [Full Text] [PDF]


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