Tracheal Reconstruction Using Endotracheal Stent and Pectoralis Major Muscle Flap.

We present a case of tracheal anastomotic dehiscence requiring circumferential tracheal replacement. We developed a novel approach by deploying a silicone stent using a hybrid surgical and endobronchial technique, followed by pectoralis major flap coverage. The patient has remained free from dyspnea 6 months after the operation. Our interdisciplinary approach represents a relatively straightforward solution to tracheal anastomotic dehiscence, one of the most devastating complications in thoracic surgery.