Video-assisted thoracoscopic surgical tracheobronchoplasty for tracheobronchomalacia.

摘要

A 56-year-old man with a history of severe chronic obstructive pulmonary disease had undergone 6 hospitaliza-tions for respiratory failure during the previous year. He reported decreased exercise tolerance and inability to clear airway secretions. Results of pulmonary function tests were suggestive of intrathoracic large airway obstruction. Flexible bronchoscopy demonstrated severe tracheobronchoma-lacia with collapse of the entire left mainstem bronchus. Dynamic computed tomographic chest scan showed expiratory collapse of the central airways (Figure 1). A right video-assisted thoracoscopic surgical tracheobronchoplasty of the trachea, right mainstem bronchus and bronchus intermedius was performed with polypropylene mesh.