Successful airway management with combined use of a McGRATHTM MAC videolaryngoscope and fiberoptic bronchoscope in a patient with congenital tracheal stenosis diagnosed in adulthood.

JA Clinical Reports
Shoko HasegawaTakayuki Kitamura

Abstract

Most patients with congenital tracheal stenosis (CTS) develop respiratory symptoms early in life. CTS remaining undiagnosed until adulthood is rare. A 51-year-old female was scheduled for cardiovascular surgery. She had undergone laparoscopic surgery 3 years earlier and was found to have a difficult airway. Postoperatively, she was diagnosed with CTS. For the current cardiovascular surgery, combined use of a McGRATHTM MAC videolaryngoscope and fiberoptic bronchoscope allowed sufficient visualization of the glottis and trachea, resulting in successful intubation. CTS patients have a high probability of difficult intubation. Our experience suggests the efficacy of combined use of a videolaryngoscope and fiberoptic bronchoscope for airway management in CTS patients.

References

Mar 21, 2002·Critical Care Medicine·Ramesh NagappanSimon Nazaretian
Aug 2, 2003·The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai Zasshi·Koichi FujimotoTakashi Ino
Nov 12, 2003·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Teresa BerrocalNieves Gómez-León
May 29, 2007·Journal of Thoracic Imaging·Phillip M BoiselleMalcolm M DeCamp
Mar 11, 2016·Annals of the American Thoracic Society·Sebastian GandoSebastian Fernandez-Bussy
Jan 10, 2017·Journal of Thoracic Disease·Claudia SchweigerMichael J Rutter
Feb 7, 2020·JA Clinical Reports·Tomoko HayasakaYuko Saito

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