Abstract
We experienced a case of tracheal stenosis due to endotracheal intubation.
A 73-year-old female was treated by endotracheal intubation for acute myocardial infarction, and immediately underwent three coronary arterial bypass graftings (CABG) in November, 1996. The intubation period lasted 9 days. Approximately one month after CABG, she complained of wheeze and dyspnea. At first, she was treated on the suspicion of bronchial asthma, but the symptoms were not improved. Re-intubation was performed, but the tube could not be passed the point approximately 20 cm from the mouth. Bronchofiberscopy was performed, and revealed a circumscribed stenosis of the second tracheal cartilage. The stenosis was limited to one cartilage and the peripheral ring appeared normal. We evaluated this case and found that it was a good indication for surgical treatment. An end-to-end anastomosis after a 3 tracheal ring sleeve resection was performed successfully. She has been followed up for 5 months, with no abnormal findings noted so far.
