Bilateral bronchial balloon dilatation and Strecker stent implantation in a ventilated child with malignant carinal stenosis.
Tracheobronchial endoluminal reconstruction and stenting has become a valuable palliative tool in adults with intrathoracic tumors compromising the airways. Tracheobronchial balloon dilatation has been recently used in children and even neonates. We report a case of severe airway obstruction requiring emergency intubation and artificial ventilation in a 5-year-old child with intrathoracic recurrence of a rhabdomyosarcoma. Endoscopic balloon dilatation through the endotracheal tube with subsequent implantation of a non self-expanding metal mesh stent was used successfully, allowing extubation and discharge of the child from ICU.
Nicolai
T
T
Klinikum Innenstadt der Ludwig-Maximilians-Universität, München, Germany.
Huber
R M
RM
Pfeifer
K J
KJ
Schneider
K
K
Mantel
K
K
Schött
C
C
D000402:Airway Obstruction / Q000209:etiology / Q000628:therapy*; D002404:Catheterization; D002648:Child; D004630:Emergencies; D005260:Female; D006801:Humans; D008048:Lip Neoplasms / Q000473:pathology; D008479:Mediastinal Neoplasms / Q000150:complications* / Q000556:secondary; D010166:Palliative Care; D012121:Respiration, Artificial; D018232:Rhabdomyosarcoma, Alveolar / Q000150:complications* / Q000556:secondary; D015607:Stents; D014135:Tracheal Stenosis / Q000209:etiology / Q000628:therapy*