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Non-circumferential membranous resection of the trachea for paraganglioma: A case report
Laure Wannaz1, Aurélien Roumy2, Igor Letovanec3
1Service of Thoracic Surgery, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland.
Introduction:
Paraganglioma is a rare neuroendocrine tumor and may sometimes be located in the membranous part of the trachea.
Presentation Of Case:
We report the case of a 52-year-old man presenting a paraganglioma just above the carina with obstructive symptoms. The patient successfully underwent a non-circumferential tracheal membranous resection, followed by latissimus dorsi muscle flap repair, under peripheral extra-corporeal membrane oxygenation (ECMO).
Discussion:
Complex carinal resection can be avoided for tracheal membranous tumors and replaced with non-circumferential resection and direct reconstruction with a muscle flap. In addition, ECMO support may be used for airway resection and reconstruction.
Conclusion:
Tracheal membranous tumors can be managed without circumferential resection or direct anastomosis.
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