Abstract
A case is described of tracheobronchomegaly progressing to extensive tracheomalacia, complicated by episodic choking, recurrent pulmonary infections, and irreversible hypercapnic respiratory failure. A Y-shaped tracheobronchial stent was placed endoscopically to splint the trachea open, with excellent clinical and physiological improvement. New stent designs may provide long term palliation in selected cases of diffuse tracheal collapse or stenosis, and offer an alternative to surgical repair.
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Selected References
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- Dumon J. F. A dedicated tracheobronchial stent. Chest. 1990 Feb;97(2):328–332. doi: 10.1378/chest.97.2.328. [DOI] [PubMed] [Google Scholar]
- Ferguson G. T., Benoist J. Nasal continuous positive airway pressure in the treatment of tracheobronchomalacia. Am Rev Respir Dis. 1993 Feb;147(2):457–461. doi: 10.1164/ajrccm/147.2.457. [DOI] [PubMed] [Google Scholar]
- Freitag L., Eicker R., Linz B., Greschuchna D. Theoretical and experimental basis for the development of a dynamic airway stent. Eur Respir J. 1994 Nov;7(11):2038–2045. [PubMed] [Google Scholar]
- Freitag L., Tekolf E., Greschuchna D. Development of a new insertion technique and a new device for the placement of bifurcated airway stents. Surg Endosc. 1994 Dec;8(12):1409–1411. doi: 10.1007/BF00187346. [DOI] [PubMed] [Google Scholar]
- Meyer E., Dinkel E., Nilles A. Tracheobronchomegaly: clinical aspects and radiological features. Eur J Radiol. 1990 Mar-Apr;10(2):126–129. doi: 10.1016/0720-048x(90)90120-z. [DOI] [PubMed] [Google Scholar]
- Nashef S. A., Dromer C., Velly J. F., Labrousse L., Couraud L. Expanding wire stents in benign tracheobronchial disease: indications and complications. Ann Thorac Surg. 1992 Nov;54(5):937–940. doi: 10.1016/0003-4975(92)90653-l. [DOI] [PubMed] [Google Scholar]
- Rousseau H., Dahan M., Lauque D., Carré P., Didier A., Bilbao I., Herrero J., Blancjouvant F., Joffre F. Self-expandable prostheses in the tracheobronchial tree. Radiology. 1993 Jul;188(1):199–203. doi: 10.1148/radiology.188.1.8511297. [DOI] [PubMed] [Google Scholar]
- Woodring J. H., Howard R. S., 2nd, Rehm S. R. Congenital tracheobronchomegaly (Mounier-Kuhn syndrome): a report of 10 cases and review of the literature. J Thorac Imaging. 1991 Apr;6(2):1–10. [PubMed] [Google Scholar]