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Ann Thorac Surg 2007;83:1923
© 2007 The Society of Thoracic Surgeons

Correspondence

Alternative Conservative Therapy

Frank A. Baciewicz, Jr, MD

Wayne State University, Detroit Medical Center, School of Medicine, 3990 John R St, Suite 2102, Detroit, MI 48201

(Email: fbaciewi{at}dmc.org).

To the Editor:

I enjoyed the article by Mercadante and colleagues [1]. The authors describe the management of a long 7-cm membranous tracheal tear after a left pneumonectomy. The patient was treated with intubation for 8 days, which allowed healing of the membranous tracheal tear. The patient was not believed to be a surgical candidate.

Was there any consideration given to placing a tracheal stent, which would have allowed immediate extubation? The tracheal stent would have also avoided the potential hazards of the endotracheal tube migrating (ie, damage to the pneumonectomy stump), and the possibility of the endotracheal tube entering the mediastinum with failure to ventilate this patient.


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  1. Mercadante E, Giovannini C, Fabio F, et al. Major iatrogenic tracheal injury during pneumonectomy: conservative therapy Ann Thorac Surg 2006;81:2285-2287.[Abstract/Free Full Text]

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Edoardo Mercadante, Domenico Curatola, and Massimo Carlini
Ann. Thorac. Surg. 2007 83: 1924. [Extract] [Full Text] [PDF]



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E. Mercadante, D. Curatola, and M. Carlini
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Ann. Thorac. Surg., May 1, 2007; 83(5): 1924 - 1924.
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