Balloon dilation causing tracheal rupture: Endoscopic management and literature review

Richard Heyes, Sergio S. Cervantes, Jamie Matthaeus, Dawn Jaroszewski, David G Lott

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

A 72-year-old female with a history of idiopathic subglottic tracheal stenosis suffered tracheal rupture during endoscopic balloon dilation. The defect measured 7.5 cm in length, through which the mediastinum was visualized. An 80 × 20-mm silicone-covered tracheobronchial stent was deployed over the defect. The patient was extubated subsequent to intraoperative computed tomography demonstrating minimal air escape. Postoperatively, the patient saw no further complications and was discharged 3 days later. The stent was removed 80 days postoperatively revealing healed trachea. Tracheal rupture is a potential risk of balloon dilation, and the list of possible complications is extensive and morbid. Although traditional repair requires an open approach, endoscopic techniques are growing in description, and tracheal stenting was successful in this case.

Original languageEnglish (US)
JournalLaryngoscope
DOIs
StateAccepted/In press - 2016

Keywords

  • Balloon dilation
  • Pneumomediastinum
  • Tracheal rupture
  • Tracheal stenosis
  • Tracheal stent

ASJC Scopus subject areas

  • Otorhinolaryngology

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