• J Formos Med Assoc · Jul 2024

    Case Reports

    Stented cryopreserved aortic allograft for reconstruction of long-segment post-tuberculosis tracheal stenosis.

    • Wan-Ting Hung, Hsien-Chi Liao, Hsao-Hsun Hsu, and Jin-Shing Chen.
    • Division of Thoracic Surgery, Department of Surgery, National Taiwan University Hospital, Taipei, Taiwan; Division of Pediatric Surgery, Department of Surgery, National Taiwan University Hospital, Taipei, Taiwan; Graduate Institute of Clinical Medicine, National Taiwan University College of Medicine, Taipei, Taiwan; Department of Surgery, National Taiwan University College of Medicine, Taipei, Taiwan.
    • J Formos Med Assoc. 2024 Jul 1; 123 (7): 818820818-820.

    AbstractTracheobronchial tuberculosis is one of the conditions causing long segment tracheal stenosis and is a clinically challenging scenario. This report describes a successful tracheal reconstruction in a 44-year-old man with long-segment post-tuberculosis tracheobronchial stenosis, utilizing a stented cryopreserved aortic allograft. The procedure was necessitated by the failure of conventional treatments. The stenotic segment was resected and replaced with a cryopreserved aortic allograft, supported by a metallic stent to maintain airway patency. Post-surgery, the patient experienced resolution of dyspnea without major complications. Currently, at 33 months post-operation, the patient enjoys an enhanced quality of life with effective breathing, speaking, swallowing abilities, and has resumed normal daily activities, with regular bronchoscopic follow-ups. This report demonstrates a novel approach for managing challenging tuberculosis-induced long segment airway stenosis.Copyright © 2024 Formosan Medical Association. Published by Elsevier B.V. All rights reserved.

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