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Niger J Clin Pract. 2019 Oct;22(10):1459-1461. doi: 10.4103/njcp.njcp_595_18.

The use of expandable metallic airway stent in a baby with tracheomalacia: A case report.

Author information

1
Department of Thoracic Surgery, Gaziantep University, Gaziantep, Turkey.
2
Department of Thoracic Surgery Clinics, Gaziantep Medical Park Hospital, Gaziantep, Turkey.

Abstract

Tracheobronchomalacia is a rare condition in the pediatric age group which may be life-threatening when it occurs. The common form of tracheomalacia is congenital, presenting with wheezing and cough. We report a case of a 65-day-old baby who was treated with non-invasive mechanical ventilation due to respiratory distress since the day of birth. Tracheomalacia was diagnosed based on the physical examination and the thorax computerized tomography (CT) findings. Patient was initially treated with noninvasive positive pressure ventilation and thereafter, fitted with a tracheobronchial conical fully-covered self-expandable nitinol stent. After stent insertion and the respiratory situation of the patient improved, ventilatory weaning and extubation were possible. A careful selection of suitable patients, appropriate stent type and the site, where it has to be placed is mandatory for successful airway stenting. Also, children must be adequately followed-up to prevent the possible life-threatening complications after stent insertion.

KEYWORDS:

Airway stenting; bronchoscopic treatment; self-expandable metallic stent; tracheomalacia

PMID:
31607740
DOI:
10.4103/njcp.njcp_595_18

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