[Iatrogenic tracheal and left bronchial stenoses. Uncommon complication of Carlens tube. Apropos of a case surgically treated in a single stage].
Independent synchronized ventilation of each lung is a new form of management of severe predominantly pulmonary lesions unaliteral. Mechanical ventilatory assistance is also used via a cuffed double lumen tube (Carlens tube). Tracheal stenosis and bronchial stenosis may result from injury caused by respiratory assistance given via this tube. The etiology of the lesion appears to be direct pressure erosion of the tracheal and bronchial walls by the cuff with subsequent repair by scarformation. These lesions were present in a young man. This report describes the surgical treatment: the double stenosis was treated by resection with end-to-end anastomosis with an excellent result.
Service de Chirurgie Thoracique et Cardiovasculaire, P.C. Evrard, CHU, Caen.
C
C
Evrard
G A
GA
Pelouze
J
J
Quesnel
D000293:Adolescent; D001986:Bronchial Spasm / Q000209:etiology* / Q000601:surgery; D003251:Constriction, Pathologic; D006801:Humans; D007049:Iatrogenic Disease; D007442:Intubation, Intratracheal / Q000009:adverse effects*; D008297:Male; D012121:Respiration, Artificial / Q000009:adverse effects*; D014135:Tracheal Stenosis / Q000209:etiology* / Q000601:surgery
Sténoses iatrogènes trachéale et bronchique gauche. Complication exceptionnelle d'une sonde de Carlens. A propos d'un cas opéré en un temps.