Anesthetic management of lower tracheal reconstruction.

We report a case of 26 years old man who presented with dyspnoea and stridor in the emergency room. He was diagnosed as a case of posttracheostomy lower tracheal stenosis and scheduled for lower tracheal reconstruction. Patient was intubated in the operating room while breathing spontaneously. Due to proximity of stenosis to carina, a portex microlaryngeal tube was used to ventilate left lung during the period of tracheal resection.