Saber-sheath malacic trachea remodeled and fixed into a normal shape by long-term placement and then removal of gianturco wire stent.
We report the case of a 59-year-old man who presented with major dyspnea due to saber-sheath malacic trachea associated with chronic pulmonary obstructive disease. The placement of a temporary tracheal stent alleviated his dyspnea very well; hence the stent was replaced with a Gianturco wire stent (Cook Cardiology, Bloomington, IN). However, this required removal due to wire-stent-related complications 2 years after the replacement. Surprisingly the trachea had been remodeled to a normal shape resulting in comfortable, functional respiratory status. A review of the literature reveals our case to be the first report of curing saber-sheath malacic trachea without leaving any prostheses or other foreign materials.
Fukai
Ichiro
I
The Second Department of Surgery, Nagoya City University Medical School, Nagoya, Japan. ifukai@med.nagoya-cu.ac.jp
Yamakawa
Yosuke
Y
Kiriyama
Masanobu
M
Kaji
Masahiro
M
Yano
Motoki
M
Sasaki
Hidefumi
H
Fujii
Yoshitaka
Y
D001999:Bronchoscopy; D002404:Catheterization / Q000295:instrumentation / Q000379:methods*; D020878:Device Removal; D004417:Dyspnea / Q000175:diagnosis / Q000209:etiology; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D029424:Pulmonary Disease, Chronic Obstructive / Q000150:complications / Q000175:diagnosis*; D020127:Recovery of Function; D018570:Risk Assessment; D015607:Stents; D013908:Thoracotomy; D013997:Time Factors; D014135:Tracheal Stenosis / Q000150:complications / Q000473:pathology / Q000628:therapy*; D016896:Treatment Outcome