The etiology and surgical management of tracheal collapse in calves

The mean ages of 10 calves with tracheal collapse were 2.7 weeks at onset of clinical signs and 9.4 weeks at presentation for treatment. Inspiratory and expiratory dyspnea and stunted growth were the most common clinical signs. There were abnormalities of the cranial ribs consistent with healing fractures with redundant callus in eight lateral thoracic radiographs. Tracheal collapse in calves may result from cranial thoracic trauma during or soon after birth. Short polypropylene ring prostheses made from 60 ml syringe barrels were placed on the tracheas of four calves with cervical tracheal collapse. There were cranial rib masses in all calves and resection of the right first and second ribs was necessary in one calf to allow placement of prostheses. Dyspnea was relieved in all calves. One calf died of unrelated causes in year 3, and one calf had recurrence of clinical signs at month 5 and was euthanatized. In both calves, tracheal stenosis resulted from continued growth and infolding of the trachea within the constraints of the prostheses. One calf was alive at month 11, and one calf died of acute bronchopneumonia on day 2. Removal of tracheal prostheses in calves is recommended after 2 to 3 months if clinical signs recur.