Surgical treatment of a female patient with tracheomalacia and expiratory tracheal stenosis
https://doi.org/10.18093/0869-0189-2018-28-5-626-631
Abstract
Abnormal mobility of the posterior membranous wall of the trachea and large bronchi is seen in many bronchopulmonary chronic inflammatory diseases. Currently, clear explanation of a mechanism of the expiratory tracheal stenosis (ETS) is absent. The advanced ETS is associated with severe ventilation abnormalities including asphyxia and syncope. The latter conditions are considered as indications for surgical treatment. Results of the surgical treatment are controversial and are not fully acceptable. For this reason, the surgical treatment for ETS is not routinely used and any successive case of such treatment is of great interest. Strict indications, such as life-threatening conditions or failure of optimal medical treatment, are required for surgical treatment of patients with tracheomalacia and ETS. Surgical treatment for tracheomalacia and ETS is contraindicated in the case of lobar bronchial lesion impeding stabilization the membranous part of the tracheobronchial tree.
About the Authors
V. D. Parshin
I.M.Sechenov First Moscow State Medical University, Healthcare Ministry of Russia (Sechenov University)
Russian Federation
Russian Federation
Vladimir D. Parshin – Doctor of Medicine, Associate Member of Russian Academy of Sciences, Professor, Head of Department of Thoracic Surgery, Professor of Chair of Departmental Surgery
ul. Trubetskaya 8, build. 2, Moscow, 119991
S. N. Avdeev
I.M.Sechenov First Moscow State Medical University, Healthcare Ministry of Russia (Sechenov University);
Federal Pulmonology Research Institute, Federal Medical and Biological Agency of Russia
Russian Federation
Russian Federation
Sergey N. Avdeev – Doctor of Medicine, Professor, Corresponding Member of Russian Academy of Sciences, Head of Department of Pulmonology, I.M.Sechenov Federal First Moscow State Medical University, Healthcare Ministry of Russia (Sechenov University); Deputy Director for Science, Federal Pulmonology Research Institute, Federal Medical and Biological Agency of Russia; Chief Pulmonologist, Healthcare Ministry of Russia
ul. Trubetskaya 8, build. 2, Moscow, 119991, Orekhovyy bul'var, 28, Moscow, 115682
M. A. Rusakov
I.M.Sechenov First Moscow State Medical University, Healthcare Ministry of Russia (Sechenov University)
Russian Federation
Russian Federation
Mikhail A. Rusakov – Doctor of Medicine, Professor of Thoracic Surgery and Phthisiopulmonology Chair, I.M.Sechenov First Moscow State Medical University, Healthcare Ministry of Russia (Sechenov University), Endoscopist of University Medical Center No.1
ul. Trubetskaya 8, build. 2, Moscow, 119991
V. A. Titov
I.M.Sechenov First Moscow State Medical University, Healthcare Ministry of Russia (Sechenov University)
Russian Federation
Russian Federation
Viktor A. Titov – Anesthesiologist, University Medical Center No.1
ul. Trubetskaya 8, build. 2, Moscow, 119991
A. V. Parshin
I.M.Sechenov First Moscow State Medical University, Healthcare Ministry of Russia (Sechenov University)
Russian Federation
Russian Federation
Aleksey V. Parshin – Postgraduate Student, Chair of Departmental Surgery
ul. Trubetskaya 8, build. 2, Moscow, 119991
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Review
For citations:
Parshin V.D., Avdeev S.N., Rusakov M.A., Titov V.A., Parshin A.V. Surgical treatment of a female patient with tracheomalacia and expiratory tracheal stenosis. PULMONOLOGIYA. 2018;28(5):626-631. (In Russ.) https://doi.org/10.18093/0869-0189-2018-28-5-626-631
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