case_images: PMC11804952_01
case_images: Preoperative period computed tomography scan: (a) A residual pleural cavity with irregular shape in the apical and caudal regions. (b) Virtual endoscopy and volumetric bronchial reconstruction showed deformation of the lower cartilaginous tracheal rings and the remaining 1st cartilaginous right main bronchial ring
case_images: ATM-20-78-g001.jpg
case_images: PMC11804952_01_ATM-20-78-g001.jpg
case_images: F1
case_images: Computed tomography (CT) scan [Figure 1] showed a wide tracheal defect.
case_images: Operation protocol: (a) Vascular flap separation including mediastinal fat and thymus, (b) right pulmonary artery stump-mobilization and ligation, (c) trachea excision, (d) resulting defect closure with transverse atraumatic sutures, (e and f) vascular flap fixation on pedicle to trachea and bronchus. A: Aorta; V: Superior vena cava; C: Pulmonary artery; T: Trachea; L: A vascular flap including mediastinal fat and thymus
case_images: ATM-20-78-g002.jpg
case_images: PMC11804952_01_ATM-20-78-g002.jpg
case_images: F2
case_images: The parts of the trachea and the left main bronchus were excised wedge-shaped [Figures 2 and 3]. The resulting defect was sutured with separate atraumatic sutures in a transverse manner [Figures 2-4].
case_images: Postoperative computed tomography scans (a, b): The right hemithorax is deformed after thoracoplasty. Neither a residual cavity nor nodular and infiltrative lung changes or any bronchopleural fistula were observed. Virtual bronchography (c): the left lung does not overextend, the bronchopulmonary pattern is not deformed, the tracheobronchial anastomosis is competent. A 3D computer model of the chest bones (d): with completely removed ribs. The absence of rib regenerate growth is visible 4 years after the operation
case_images: ATM-20-78-g003.jpg
case_images: PMC11804952_01_ATM-20-78-g003.jpg
case_images: F3
case_images: The parts of the trachea and the left main bronchus were excised wedge-shaped [Figures 2 and 3]. The resulting defect was sutured with separate atraumatic sutures in a transverse manner [Figures 2-4]. On the final CT scans [Figure 3], the right hemithorax was deformed after thoracoplasty.
case_images: CT scans 4 years after surgery (a): no exacerbations of pulmonary tuberculosis. General view of the patient 4 years after surgery (b)
case_images: ATM-20-78-g004.jpg
case_images: PMC11804952_01_ATM-20-78-g004.jpg
case_images: F4
case_images: The parts of the trachea and the left main bronchus were excised wedge-shaped [Figures 2 and 3]. The resulting defect was sutured with separate atraumatic sutures in a transverse manner [Figures 2-4].