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Case Reports

Rare and Fatal Complication of Gianturco Tracheobronchial Stent

^a Wessex Cardiothoracic Centre, Southampton General Hospital, Southampton, United Kingdom
^b Thoracic Medical Centre, Royal Bournemouth Hospital, Bournemouth, United Kingdom

Accepted for publication March 26, 2007.

^_* Address correspondence to Dr Amer, Wessex Cardiothoracic Centre, Southampton General Hospital, Tremona Road, Southampton, SO16 6YD, United Kingdom (Email: khalid.amer{at}btinternet.com).

Tracheobronchial stents are increasingly being used for the management of compromised large airways. Traditionally they have been used to palliate malignant conditions; however, they are now being used more frequently for nonmalignant conditions. The use of Gianturco self-expanding metal stent (William Cook, Bjaeverskov, Denmark) has been challenged for treatment of tracheobroncheomalacia, as fracture of the metal work could prove fatal. In this report we describe a case of fracture in the metal framework of a Gianturco stent resulting in recurrent pneumothoraces; heralding fatal haemoptysis as a result of perforation of the left subclavian artery.