Igor E. Konstantinov, MD, PhD

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Presentation transcript:

Carinal stabilization technique in severe tracheobronchial malacia after slide tracheoplasty Igor E. Konstantinov, MD, PhD The Journal of Thoracic and Cardiovascular Surgery Volume 140, Issue 3, Pages 717-719 (September 2010) DOI: 10.1016/j.jtcvs.2010.02.031 Copyright © 2010 Terms and Conditions

Figure 1 Computed tomography scan shows left PA sling (A) with severe long-segmental tracheal stenosis with complete rings (“rat-tail trachea”) (A–C) and carinal stabilization with a ring-enforced, 8-mm polytetrafluoroethylene (Gore-Tex; WL Gore and Associates Inc, Flagstaff, Ariz) conduit after slide tracheoplasty (D–F). The Journal of Thoracic and Cardiovascular Surgery 2010 140, 717-719DOI: (10.1016/j.jtcvs.2010.02.031) Copyright © 2010 Terms and Conditions

Figure 2 Schematic diagram of the extent of slide tracheoplasty and carinal stabilization. Extensive narrowing of the trachea consisted of complete rings (A). Slide tracheoplasty shortened the trachea approximately one third of its length and lifted the carina and both left main bronchi (B), exacerbating tracheobronchial malacia at the carina. The collapsed area of the carina and both main bronchi were opened and patched with a fresh autologous pericardial patch (C). The carina was stabilized with split strips of the ring-enforced polytetrafluoroethylene (Gore-Tex) conduit (D). The Journal of Thoracic and Cardiovascular Surgery 2010 140, 717-719DOI: (10.1016/j.jtcvs.2010.02.031) Copyright © 2010 Terms and Conditions