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Ann Thorac Surg 2007;83:685-687
© 2007 The Society of Thoracic Surgeons

Case Reports

Tracheal Stenosis Caused by Retrosternal Dislocation of the Right Clavicle

Ei Nakayama, MDa, Toru Tanaka, MDa, Tetsuo Noguchi, MDb, Jun-ichi Yasuda, MDb, Yasuji Terada, MDa,*

a Department of Thoracic Surgery, Nagahama City Hospital, Nagahama, Japan
b Department of Respiratory Medicine, Nagahama City Hospital, Nagahama, Japan

Accepted for publication June 5, 2006.

* Address correspondence to Dr Terada, Department of Thoracic Surgery, Nagahama City Hospital, 313 Oinui-cho, Nagahama 526-8580, Japan. (Email: yaterada{at}ex.biwa.ne.jp).

A 17-year-old woman was admitted to our institution because of tracheal stenosis. She had undergone tracheostomy after a traffic accident, but the stenosis had persisted. Chest computed tomography showed retrosternal dislocation of the right sternoclavicular joint and compression of the trachea by the medial head of the right clavicle. To relieve the tracheal compression, 3 cm of the medial head of the clavicle was resected. The dyspnea disappeared completely, allowing closure of the tracheostomy. Posterior dislocation of the sternoclavicular joint and tracheal stenosis due to compression by the dislocated clavicle is rare.




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[Abstract] [Full Text] [PDF]


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