Abstract

ARMAS-ZARATE, Francisco Javier; MORALES-GOMEZ, José; VAZQUEZ-MINERO, Juan Carlos  and  BARRIENTOS-MORALES, Edwin Gustavo. Tracheal distal third perforation. A case report. Neumol. cir. torax [online]. 2022, vol.81, n.3, pp.193-196.  Epub Dec 08, 2023. ISSN 0028-3746.  https://doi.org/10.35366/111091.

Perforation of the tracheobronchial tree is a potentially life-threatening clinical scenario. The most common causes are iatrogenic perforations. The incidence of this pathology is very low, making appropriate treatment challenging for the surgeon. Bronchoscopy is the gold standard for diagnosis. The most common site of iatrogenic perforations is usually in its proximal third. Treatment should be individualized to each clinical scenario. We present the case of a patient with tracheal perforation in the distal third evidenced by bronchoscopy, with progressive symptoms, who required emergency surgical management with resection and tracheal anastomosis, being its repair challenging due to the anatomical site which is not the most common presented in the literature. With adequate postoperative evolution of the patient. In cases of tracheal perforation and progressive symptomatology, surgical treatment plays a fundamental role.

Keywords : perforation of distal third of trachea; thoracic surgery; trachea; case report.