Video-Assisted Transcervical-Transtracheal Repair for Post-Intubation Tracheal Laceration.

IF 1.4 0 CARDIAC & CARDIOVASCULAR SYSTEMS

Interdisciplinary cardiovascular and thoracic surgery Pub Date : 2026-07-01 DOI:10.1093/icvts/ivag191

Chun-Han Shih, Chien-Wei Huang, Ting-Shou Chang

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Abstract

Background: Post-intubation tracheal laceration (PITL) is a rare but life-threatening complication. Early recognition and appropriate management are critical to prevent severe morbidity.

Case presentation: A 30-year-old female with class III obesity (BMI: 41.8 kg/m²) presented with progressive subcutaneous emphysema and pneumomediastinum from a 3 cm full-thickness posterior tracheal laceration (Cardillo level IIIa) after orthopaedic surgery under general anaesthesia. On postoperative day 3, she underwent video-assisted transcervical-transtracheal repair via a temporary cervical tracheostomy. Utilizing a rigid endoscope and a protocol-driven, SpO2-guided intermittent apnoeic technique, the laceration was successfully repaired with a 3-0 Monocryl running suture without complications.

Conclusions: The video-assisted transcervical-transtracheal approach offers a minimally invasive and effective alternative to conventional surgeries for PITL.

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电视辅助经颈-经气管插管后气管撕裂修补术。

插管后气管撕裂伤（PITL）是罕见的，但可能危及生命。在本报告中，我们提出了一例选择性插管后明显的皮下肺气肿，强调了早期识别的重要性，以及在这种情况下的治疗选择。我们也强调气管造口术作为内窥镜路径的使用，以提供更好的可视性和更多的操作空间。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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