Prosthetic reconstruction of the trachea and carina
| Autor: | Paul J.P. Bolanowski, William E. Neville, Hooshang Soltanzadeh |
|---|---|
| Rok vydání: | 1976 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty business.industry medicine.medical_treatment respiratory system Anastomosis Malignancy medicine.disease Prosthesis Surgery Tracheal Stenosis medicine.anatomical_structure medicine Respiratory system Cardiology and Cardiovascular Medicine Airway business Disseminated cancer Artery |
| Zdroj: | The Journal of Thoracic and Cardiovascular Surgery. 72:525-538 |
| ISSN: | 0022-5223 |
| DOI: | 10.1016/s0022-5223(19)40036-6 |
| Popis: | Twenty-six patients with tracheal stenosis owing to benign stricture and malignancy have had airway reconstruction with a molded silicone rubber prosthesis. In 8 patients the distal trachea and carina were replaced with a bifurcated graft. One individual with respiratory insufficiency could not be weaned from the respirator and died in 3 weeks. Two other patients with malignancy died 15 and 18 months following operation from disseminated cancer. The remainder are living from 1 to 5 years postoperatively. Eighteen individuals have had the trachea resonstructed with a straight graft of silicone rubber. In 5 patients with long strictures the prosthesis was invaginated into the upper and lower ends of the trachea. Thirteen individuals had circumferential resection of the airway with end-to-end anastomosis of the graft to the trachea. There was one early death from erosion of the innominate artery and 5 late deaths unrelated to the prosthesis. |
| Databáze: | OpenAIRE |
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