Authors: J. Hlubocký; J. Vojáček; P. Pafko *; M. Horáček ***; M. Trefný **; R. Lischke *; J. Šimonek *; J. Špatenka; P. Pavel Authors‘ workplace: Kardiochirurgická klinika FN Praha-Motol, přednosta MUDr. P. Pavel, CSc. ; III. chirurgická klinika FN Praha-Motol přednosta prof. MUDr. P. Pafko, DrSc. *; Pneumologická klinika 2. LF a FN Praha-Motol **; Klinika anesteziologie a resuscitace FN Praha-Motol *** Published in: Rozhl. Chir., 2005, roč. 84, č. 7, s. 331-333. Category: Monothematic special - Original
The authors describe their surgical management of a female patient with a symptomatic coronary artery disease, who had developed a postintubation stenosis of the trachea. The patient sufferred from a rest dyspnoea with stridor. The unusual combination of the both cardiac and tracheal disorders were managed employing a one-step cardio-thoracic surgical procedure. The tracheal resection was conducted in the extracorporeal circulation condition together with the myocardial revascularization. The case shows how, in indicated cases, availability of the extracorporeal circulation can widen a spectrum and limits of the standard chest surgery.
Key words: stenosis of the trachea – resection of the trachea – CABG – aorto-coronary bypass
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