Prosthetic reconstruction of the trachea and carina

Autor: Paul J.P. Bolanowski, William E. Neville, Hooshang Soltanzadeh
Rok vydání: 1976
Předmět:
Zdroj: The Journal of Thoracic and Cardiovascular Surgery. 72:525-538
ISSN: 0022-5223
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