Kumar Bhupesh, Munirathinam Ganesh Kumar, Puri Goverdhan Dutt, Mishra Anand Kumar, Arya Virendra Kumar
Department of Anesthesia and Intensive Care, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Ann Card Anaesth. 2017 Jul-Sep;20(3):355-358. doi: 10.4103/aca.ACA_12_17.
Silicone tracheobronchial stents are being increasingly used in a large number of patients for the treatment of tracheal stenosis. One very rare complication due to tracheobronchial stenting is bronchoesophageal fistula (BEF), which has been associated with the use of metallic stents. We report intraoperative management of a patient undergoing repair of a BEF, following previous insertion of a silicone Y-stent that is soft in texture and has not been implicated for this complication till date. In addition, misalignment of this silicone tracheobronchial Y-stent resulted in a tracheal mucosal bulge proximal to the stent that vanished after its removal.
硅酮气管支气管支架正越来越多地用于大量患者的气管狭窄治疗。气管支气管支架置入术一种非常罕见的并发症是支气管食管瘘（BEF），这与金属支架的使用有关。我们报告了一名患者在先前置入质地柔软的硅酮Y形支架后发生BEF修复手术中的处理情况，该并发症迄今为止尚未与这种硅酮支架相关联。此外，这种硅酮气管支气管Y形支架的错位导致支架近端出现气管黏膜隆起，移除支架后隆起消失。
