Total Tracheal Resection for Long-Segment Benign Tracheal Stenosis

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Total Tracheal Resection for Long-Segment Benign Tracheal Stenosis Jia Lin Soon, MRCS, Thirugnanam Agasthian, FRCS The Annals of Thoracic Surgery Volume 85, Issue 2, Pages 654-656 (February 2008) DOI: 10.1016/j.athoracsur.2007.08.052 Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) Three-dimensional reconstructed image of tracheal stenosis extending from 2 cm distal to the vocal cords to the T4-spinal level. (B) Sagittal computed tomographic image of residual trachea after initial resection (top of C7 to bottom of T2 vertebra) with recurrent stenotic segment ending at the carina. The Annals of Thoracic Surgery 2008 85, 654-656DOI: (10.1016/j.athoracsur.2007.08.052) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Top panel: the 5-mm diameter stenosis approximately 3 cm above the carina requiring bronchoscopic dilatation to allow passage of the flexible bronchoscope. Bottom panel: widely patent trachea (4-cm residual length) and anastomosis post-resection. The Annals of Thoracic Surgery 2008 85, 654-656DOI: (10.1016/j.athoracsur.2007.08.052) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Spirometry with flow-volume loop of patient showing complete resolution of the severe obstructive pattern post-tracheal resection. Left panel: preoperative; right panel: postoperative. Volume (L) in the x-axis, and flow (L/sec) in the y-axis. Outer line of expiratory limb marks predicted values with confidence interval. (FEV1 = forced expiratory volume in 1 second; FVC = forced vital capacity; PEF = peak expiratory flow; Postop = postoperative; Preop = preoperative; * = actual value measured.) The Annals of Thoracic Surgery 2008 85, 654-656DOI: (10.1016/j.athoracsur.2007.08.052) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions