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Eric W. Fonkalsrud, MD; Shigeo Sumida, MD

AMA Arch Surg. 1971;102(2):139-142.

Abstract
Severe congenital stenosis of the entire trachea with absence of the membranous portion caused acute respiratory obstruction in a 4-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.

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).

Footnotes
Accepted for publication Nov 10, 1970.

Reprint requests to Department of Surgery, School of Medicine, the Center for the Health Sciences, University of California, Los Angeles 90024 (Dr. Fonkalsrud).

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