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Ann Thorac Surg. 2010 Mar;89(3):977-9. doi: 10.1016/j.athoracsur.2009.05.088.

Severe tracheal compression causing respiratory failure after transhiatal esophagectomy.

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Division of Pulmonary Disease and Critical Care Medicine, Department of Internal Medicine, Virginia Commonwealth University, Richmond, Virginia 23298-0050, USA.


Complications after transhiatal esophagectomy include pneumonia, recurrent laryngeal nerve injury, and anastomotic leak. Although damage to the trachea is a potential complication, there are minimal reports of tracheal compression after esophagectomy with gastric pull-through. We report a case of severe tracheal compression and obstruction requiring mechanical ventilation presenting 2 days postoperatively. Placement of a silicone tracheal stent relieved the obstruction in the distal trachea and facilitated extubation.

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