Tracheal Stenosis Caused by Retrosternal Dislocation of the Right Clavicle Ei Nakayama, MD, Toru Tanaka, MD, Tetsuo Noguchi, MD, Jun-ichi Yasuda, MD,

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Presentation transcript:

Tracheal Stenosis Caused by Retrosternal Dislocation of the Right Clavicle Ei Nakayama, MD, Toru Tanaka, MD, Tetsuo Noguchi, MD, Jun-ichi Yasuda, MD, Yasuji Terada, MD The Annals of Thoracic Surgery Volume 83, Issue 2, Pages 685-687 (February 2007) DOI: 10.1016/j.athoracsur.2006.06.022 Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) Bronchoscopy shows tracheal stenosis and granulation tissue inside the trachea. (B) Two weeks after the operation, tracheal stenosis is improved and the granulation decreased. (C) The tracheal stenosis and granulation disappeared completely 3 months after the operation, but deformity of the cartridge remains. The Annals of Thoracic Surgery 2007 83, 685-687DOI: (10.1016/j.athoracsur.2006.06.022) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A) Chest computed tomography shows that the medial head of the right clavicle is located posterior of the sternum. The airway was maintained in this slice just inferior to the end of the tracheostomy tube. (B) Three-dimensional computed tomography shows prominent shift of the right clavicle head rearward to the sternum. The Annals of Thoracic Surgery 2007 83, 685-687DOI: (10.1016/j.athoracsur.2006.06.022) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Chest magnetic resonance image shows compression of the trachea by the right clavicle head. White arrowhead indicates the head of the right clavicle and white arrow shows the area of tracheal stenosis. The Annals of Thoracic Surgery 2007 83, 685-687DOI: (10.1016/j.athoracsur.2006.06.022) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions