Tracheal reconstruction with mitral valve replacement under cardiopulmonary bypass: A case report

Abstract

A-54-year-female patient suffering from rheumatic heart disease mitral stenosis, NYHA class IV with pulmonary edema ventilated for one week. She developed postintubation tracheal stenosis. Mitral valve replacement with tracheal resection and reconstruction under Cardio Pulmonary Bypass (CPB) was planned. Mitral valve replacement was done under CPB which was continued to resect and reconstruct trachea. Endotracheal tube was reinserted beyond anastomosis and ventilation started. Postoperatively neck flexon stitch kept for one week and repeat fibreoptic bronchoscopy was done to clear endotracheal secretions. postoperative period was uneventful except left vocal cord palsy.