Tracheotomy for Patients with Tracheal Stenosis from Advanced Esophagus Cancer with the Preparation of Standby Percutaneous Cardiopulmonary Support

Abstract

We report a patient with tracheal stenosis from advanced esophagus cancer with the preparation for percutaneous cardiopulmonary support if required. The patient was a 60-year-old female. She complained of dyspnea and checked-in to our emergency room. Computed tomography (CT) confirmed advanced esophagus cancer had invaded the trachea. The tracheal stenosis was so severe that tracheal intubation tube may not pass over the stenosis site; therefore we prepared percutaneous cardiopulmonary support (PCPS) during airway management. Tracheal intubation and tracheostomy was performed safely without the use of PCPS. When we have to perform tracheostomy on patients with severe tracheal stenosis, PCPS should be prepared for sudden airway obstruction during the operation.