The Thoracic & Cardiovascular Surgeon Reports (Jan 2020)

Tracheal Transection—A Novel Airway Management

  • Felix Fleißner,
  • Max Eike Timm,
  • Carl Philipp Lang,
  • Thomas Lenarz,
  • Christian Kühn,
  • Daniel Benjamin Jaeger

DOI
https://doi.org/10.1055/s-0040-1710586
Journal volume & issue
Vol. 09, no. 01
pp. e24 – e28

Abstract

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Background Traumatic injury of the trachea is rare, especially complete transection. Its operative revision requires an interdisciplinary approach. Case Description We hereby present a rare case of complete transection of the trachea by accident. To stabilize the patient and to allow for safe surgery, veno-venous extracorporeal support was initiated via the subclavian artery and the femoral vein. The patient was subsequently operated, and the trachea re-anastomosed with favorable outcome. Conclusion This rare case of an accidental transection of the trachea shows the importance of a good emergency rescue chain and the ability to facilitate interdisciplinary approaches in tertiary hospitals.

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