Skip to main content
Thorax logoLink to Thorax
. 1979 Aug;34(4):554–556. doi: 10.1136/thx.34.4.554

Surgical treatment of adenoid cystic carcinoma of the left main bronchus and trachea by left pneumonectomy, resection of 7.5 cm of trachea, and direct reanastomosis of right lung.

G Stalpaert, G Deneffe, R van Maele
PMCID: PMC471117  PMID: 228443

Abstract

A 23-year-old woman, who had suffered recurrent acute bronchitis, dyspnoea, and stridor, was found to have a tracheal stenosis and complete left main bronchus obstruction. Biopsy of the tumour showed an adenoid cystic carcinoma. After pneumonectomy the trachea was closed through tumour tissue. Two weeks later a right thoracotomy showed that a tumour had invaded the trachea from the carina up to 6 cm and the right stem bronchus for 1 cm. Under extracorporeal circulation 7.5 cm of the trachea and right bronchus were resected. A direct tracheal anastomosis was easy to perform. Spontaneous respiration with efficient coughing returned after five days. Unfortunately, one month later, high fever caused by a lung abscess developed, which provoked a massive haemoptysis with fatal outcome.

Full text

PDF
554

Images in this article

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. ABBOTT O. A., VANFLEIT W. E., ROBERTO A. E. Experiences with extending the indications for the use of tracheal and bronchial grafts. J Thorac Surg. 1955 Mar;29(3):217–237. [PubMed] [Google Scholar]
  2. BARCLAY R. S., McSWAN N., WELSH T. M. Tracheal reconstruction without the use of grafts. Thorax. 1957 Sep;12(3):177–180. doi: 10.1136/thx.12.3.177. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. GRILLO H. C., DIGNAN E. F., MIURA T. EXTENSIVE RESECTION AND RECONSTRUCTION OF MEDIASTINAL TRACHEA WITHOUT PROSTHESIS OR GRAFT: AN ANATOMICAL STUDY IN MAN. J Thorac Cardiovasc Surg. 1964 Nov;48:741–749. [PubMed] [Google Scholar]
  4. Grillo H. C. Circumferential resection and reconstruction of the mediastinal and cervical trachea. Ann Surg. 1965 Sep;162(3):374–388. doi: 10.1097/00000658-196509000-00007. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Grillo H. C. Reconstruction of the trachea. Experience in 100 consecutive cases. Thorax. 1973 Nov;28(6):667–679. doi: 10.1136/thx.28.6.667. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. HOUEL J., LEBON P., CALLIGE P. Le traitement des tumeurs primitives de la trachée endo-thoracique. Presse Med. 1958 Apr 23;66(32):729–732. [PubMed] [Google Scholar]
  7. Houston H. E., Payne W. S., Harrison E. G., Jr, Olsen A. M. Primary cancers of the trachea. Arch Surg. 1969 Aug;99(2):132–140. doi: 10.1001/archsurg.1969.01340140004002. [DOI] [PubMed] [Google Scholar]
  8. MATHEY J., BINET J. P., DENIS B., OUSTRIERES G., FREDET J. [Surgery of primary tumors of the trachea]. Bronches. 1961 May-Jun;11:256–280. [PubMed] [Google Scholar]
  9. SMITH R. A., KARUNAKARAN K. P. EXPOSURE OF BENIGN TRACHEAL TUMOURS BY TRANSVERSE DIVISION OF THE TRACHEA. Br J Surg. 1965 Apr;52:270–276. doi: 10.1002/bjs.1800520407. [DOI] [PubMed] [Google Scholar]
  10. WILKINS E. W., Jr, DARLING R. C., SOUTTER L., SNIFFEN R. C. A CONTINUING CLINICAL SURVEY OF ADENOMAS OF THE TRACHEA AND BRONCHUS IN A GENERAL HOSPITAL. J Thorac Cardiovasc Surg. 1963 Sep;46:279–291. [PubMed] [Google Scholar]

Articles from Thorax are provided here courtesy of BMJ Publishing Group

RESOURCES