[Simultaneous tracheal resection-anastomosis and heart transplantation].
Advanced myocardial disease associated with a post-intubation tracheal stenosis due to acute cardio-pulmonary failure in a 52 year-old patient led to a difficult choice of priorities between tracheal resection-anastomosis and heart transplantation. A simultaneous surgical operation with both heart transplantation and tracheal resection-anastomosis was considered to be a safe solution and was performed successfully. No adverse effect of corticosteroid and immunosuppressive therapy was observed on tracheal healing despite the tension resulting from segmental resection of the trachea.
Velly
J F
JF
Service de Chirurgie Thoracique, Hôpital Xavier-Arnozan, Pessac.
Roques
X
X
Laborde
N
N
Dubrez
J
J
Baudet
E
E
Couraud
L
L
D000714:Anastomosis, Surgical; D002311:Cardiomyopathy, Dilated / Q000601:surgery*; D016027:Heart Transplantation; D006801:Humans; D007442:Intubation, Intratracheal / Q000009:adverse effects; D008297:Male; D008875:Middle Aged; D014135:Tracheal Stenosis / Q000209:etiology / Q000601:surgery*