title: [Life-threathening tracheal obstruction following intubation in a case of Willebrand-Jürgens disease].
abstract: A case of severe dyspnoea is reported which occurred in a 21-years-old woman with Willebrand-Jürgens disease four days after intubation during a dental operation. A 34 Charrière catheter was introduced into the glottis after a 22 Charrière catheter had failed to pass the obstruction. The patient was then artificially ventilated by means of a Spiromat and was subsequently tracheotomized after her cardio-pulmonary condition had become stabilized. The cause of the dyspnoea was a fibrin clot of 5-6 cm length. Three weeks after the tracheotomy and one week after extubation the patient was discharged from hospital in a satisfactory condition. The factors responsible for the development of the fibrin clot are discussed. If there is persistent stridor and aphonia after extubation a laryngologist should be consulted.
mesh_terms: D000328:Adult; D001778:Blood Coagulation Disorders / Q000209:etiology; D004417:Dyspnea / Q000209:etiology*; D005260:Female; D006801:Humans; D007442:Intubation, Intratracheal / Q000009:adverse effects*; D012121:Respiration, Artificial; D013515:Surgery, Oral; D014135:Tracheal Stenosis / Q000209:etiology; D014842:von Willebrand Diseases / Q000150:complications*
vernacular_title: Lebensbedrohliche Verlegung der Trachea nach intubation bei Morbus Willebrand-Jürgens