Left mainstem bronchial laceration with perforation to right pleural cavity as complication after dynamic stent insertion

Mariusz Łochowski; Aleksandra Szlachcińska; Józef Kozak

doi:10.5114/wiitm.2014.41627

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abstract:

Case report

Left mainstem bronchial laceration with perforation to right pleural cavity as complication after dynamic stent insertion

Mariusz P. Łochowski

,

Aleksandra Szlachcińska

,

Józef Kozak

Videosurgery Miniinv 2014; 9 (2): 286–288

DOI: https://doi.org/10.5114/wiitm.2014.41627

Online publish date: 2014/04/01

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The development of science at the end of the 20^th century introduced new surgical miniinvasive techniques. Endoscopic insertion of an internal stent is an alternative to other, older techniques in the treatment of tracheobronchial stenosis. Complications are serious and require immediate intervention. We report a case of a 53-year-old patient with left mainstem bronchus perforation during insertion of a dynamic stent. The clinical presentation was characterised by right tension pneumothorax. The dynamic stent in the right pleural cavity on computed tomography scan was observed. Right postero-lateral thoracotomy, stent evacuation and tracheal sutures were performed. Tracheal granulation was treated with argon plasma coagulation. Early diagnosis and treatment offered good current effects.

keywords:

Left mainstem bronchial laceration with perforation to right pleural cavity as complication after dynamic stent insertion

Mariusz P. Łochowski , Aleksandra Szlachcińska , Józef Kozak

bronchial stent, bronchial injury, surgery

Mariusz P. Łochowski

,

Aleksandra Szlachcińska

,

Józef Kozak