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February 1971

Tracheal Replacement With Autologous Esophagus for Tracheal Stricture

Author Affiliations

Los Angeles; Panorama City, Calif
From the Department of Surgery, UCLA School of Medicine, Los Angeles (Dr. Fonkalsrud); and the Department of Pediatrics, Kaiser Permanente Hospital, Panorama City, Calif (Dr. Sumida).

Arch Surg. 1971;102(2):139-142. doi:10.1001/archsurg.1971.01350020049013

Severe congenital stenosis of the entire trachea with absence of the membranous portion caused acute respiratory obstruction in a 4½-year-old boy and required emergency tracheal replacement. The surgical repair consisted of a unique in situ esophageal replacement of the trachea and tracheo-esophageal anastomosis with an internal stent. The replacement worked well for 39 days at which time the patient died suddenly from a plug of mucus in the trachea, which occluded the anastomosis. Further experience with tracheal replacement and use of in situ esophagus for long tracheal strictures appears justified.