The patient is an adult man with respiratory failure who developed a distal tracheal perforation. Bedside bronchoscopy confirmed the presence of a 4-cm perforation of the posterior membranous trachea down to the level of the tracheal bifurcation. Subsequent esophagoscopy was performed and was interpreted as normal to 25 cm from the incisors. The problem is an isolated distal tracheal tear that serves as a source of contamination for the adjacent tissues and represents a life-threatening situation in this patient.
KeywordsMuscle Flap Pleural Space Latissimus Dorsi Muscle Bronchopleural Fistula Lateral Thoracotomy
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