Korean J Crit Care Med.  2012 May;27(2):111-114. 10.4266/kjccm.2012.27.2.111.

A Case of Successful Natural Stenting in Tracheobronchial Restenosis with Malignant Tumor after Metallic Stenting

• Hong G
• Jeon K
• Um SW
• Koh WJ
• Suh GY
• Chung MP
• Kwon OJ
• Kim H

• KMID: 2228002
• DOI: http://doi.org/10.4266/kjccm.2012.27.2.111

Abstract

Tracheal tumors are very rare disease, which may cause dyspnea, obstructive pneumonia and life-threatening hypoxemia, depending on the site of the lesion and the severity of the narrowing. Such patients frequently die within hours or days due to suffocation. Patients who expressed upper airway stenosis, should be secured the airways prior to the diagnosis and treatment commonly. Then, treatment plan should be determined. For the relief of such stenosis, various modalities of therapy including surgery, laser photoresection, balloon dilatation and sometimes stent insertion have been used. Tracheobronchial stent insertion has been a good therapeutic option in these patients in point of avoiding morbidities associated with surgery. We report a case of repeated tracheobronchial stenosis by infiltrating tumor mass after metallic stent insertion in a 48-year-old man. The patient was treated successfully by Natural stent insertion with rigid bronchoscopy after removal of previous inserted metallic stent.

Keyword

malignant tumor; metallic stent; natural stent; tracheobronchial stenosis

MeSH Terms

Anoxia
Asphyxia
Bronchoscopy
Constriction, Pathologic
Dilatation
Dyspnea
Humans
Laser Therapy
Middle Aged
Pneumonia
Rare Diseases
Stents