Tracheal stenosis diagnosed on pulmonary ventilation/perfusion scan.
A 68-year-old woman, who had undergone coronary artery bypass surgery 5 months previously, was presented with cough, breathlessness and an elevated D-dimer. She was initially thought to have suffered a pulmonary embolus. A ventilation/perfusion scan demonstrated tracheal stenosis, which required dilation and endobronchial stent deployment. Tracheal stenosis is a well-recognised complication of endotracheal intubation; however, the onset of symptoms is often insidious and the diagnosis delayed.
Cusack
R J
RJ
Department of Thoracic Medicine, St Georges Hospital, Tooting, London SW17 0QT, UK. rj_cusack@yahoo.co.uk
Seth
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A
Madden
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BP