Abstract
We report a low-birth-weight newborn who underwent slide tracheoplasty for congenital tracheal stenosis (CTS), and subsequently led to removal of the tube. A female infant born at 35 weeks and 1 day of gestation with a weight of 1,777 g presented dyspnea immediately after birth, and received tracheal intubation. However, the tracheal tube with an inner diameter of 2.5 mm (an outer diameter of 3.5 mm) could not be placed beyond the glottis. Chest computed tomography examination revealed stenosis localized in the upper part of trachea, and CTS was suggested. Since her respiration could not be maintained in a stable condition, she underwent operation at the age of 4 days. CTS occupied 28.6% of the entire length of the trachea was found in the upper part of trachea, and cervical slide tracheoplasty without cardiopulmonary bypass was performed. The tube was removed 15 days after operation. At present, 3 months after the operation, her respiratory condition continues to remain stable. Slide tracheoplasty is useful for CTS involving localized and absolutely narrow stenosis.