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Ann Thorac Surg 2005;80:266-267
© 2005 The Society of Thoracic Surgeons

Original article: General thoracic

Invited commentary

Eddie Hoover, MD

(112) Department of Surgery, Buffalo VAMC, 3495 Bailey Ave, Buffalo, NY 14215

(Email: eddie.hoover@med.va.gov).

The first 20% of the full text of this article appears below.


   Introduction
 
In this article the established group of investigators and clinicians describe a rare condition called "malacia of the intrathoracic trachea," which results in expiratory collapse of the membranous portion of this part of the airway secondary to severe central airway obstruction. Then they report their experience at the Massachusetts General Hospital with a series of 14 consecutive patients treated over a 10-year period utilizing a new technique they developed. This technique utilizes Marlex mesh to restore the proper anatomic configuration of the membranous portion of the intrathoracic trachea, thus preventing expiratory collapse and the resulting sequelae of expiratory stridor, persistent cough, difficulty in clearing secretions, and dyspnea. The authors review the history of other investigators’ results in this field using various stents and tracheoplastic procedures, and review their own experience with autologous fascia lata and pericardium, only to condemn their continued use . . . [Full Text of this Article]


Related Article

Tracheoplasty for Expiratory Collapse of Central Airways
Cameron D. Wright, Hermes C. Grillo, Zane T. Hammoud, John C. Wain, Henning A. Gaissert, Victor Zaydfudim, and Douglas J. Mathisen
Ann. Thorac. Surg. 2005 80: 259-266. [Abstract] [Full Text] [PDF]





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