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Eur J Cardiothorac Surg 2001;19:932-934
© 2001 Elsevier Science NL

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Posterior wall laceration of the thoracic trachea: the transcervical–transtracheal approach

Division of Thoracic Surgery, Cardiac and Thoracic Department, University of Pisa, Via Paradisa, 2, 56124 Pisa, Italy

Received 22 November 2000; received in revised form 23 February 2001; accepted 13 March 2001.

Corresponding author. Tel.: +39-050-995211/995230; fax: +39-050-577239
e-mail: m.ambrogi{at}med.unipi.it

A large membranous wall laceration of the thoracic trachea was surgically treated. The surgical approach consists on a low collar incision followed by a longitudinal tracheotomy. The membranous tear was repaired with a running suture and tracheotomy sutured with interrupted crossed stitches. The procedure was effective and endoscopic follow-up showed a perfect healing process with no signs of tracheal stenosis. This new technique proved to be a reliable, quick and safe procedure, which allows to repair membranous lacerations as far as the carina, avoiding thoracotomy.

Key Words: Tracheal wall laceration • Transcervical–transtracheal approach

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