Tracheal Mucoepidermoid Carcinoma Surgery Using Percutaneous Cardiopulmonary Support

Ryota Masuda, Tomoki Nakagawa, Mitsutomo Kohno and Masayuki Iwazaki

Department of General Thoracic Surgery, Tokai University School of Medicine 143 Shimokasuya, Japan

^*Correspondance to: Ryota Masuda 

 PDF  Full Text DOI: 10.25107/2474-1647.2254

Abstract

We present tracheal mucoepidermoid carcinoma surgery using percutaneous cardiopulmonary support. A 20-year-old female presented with a three-year history of wheezing and dyspnea attacks that progressively worsened. Initially diagnosed as having asthma, the patient responded poorly to bronchodilators and systemic corticosteroids. Computed tomography revealed a tracheal tumor obstructing approximately 90% of the trachea at the level of the sternal notch and subcutaneous emphysema. As dyspnea worsened after hospitalization, we performed emergency surgery. Percutaneous cardiopulmonary support was established before collar incision of the neck for airway management. The patient underwent open partial tracheal resection and reconstruction under bronchoscopy guidance. The tumor was diagnosed as mucoepidermoid carcinoma of the trachea. Although the surgical margin was negative, adjuvant radiation therapy was provided. Eight-year post-resection surveillance bronchoscopy demonstrated no recurrence of the tumor. Primary salivary-gland tumors of the trachea are extremely rare. Percutaneous cardiopulmonary support enables an uneventful and successful operation.

Keywords

Mucoepidermoid carcinoma; Percutaneous cardiopulmonary support; Tracheal carcinoma

Cite the article

Masuda R, Nakagawa T, Kohno M, Iwazaki M. Tracheal Mucoepidermoid Carcinoma Surgery Using Percutaneous Cardiopulmonary Support. Clin Surg. 2018; 3: 2254.