Non-circumferential membranous resection of the trachea for paraganglioma: A case report. (2018)

• Record Type: Journal Article
• Authors: Wannaz, Laure; Roumy, Aurélien; Letovanec, Igor; Lovis, Alban; Beigelman, Catherine; Ris, Hans-Beat; Gonzalez, Michel
• Is Part Of: International journal of surgery case reports. Volume 51(2018)
• Page Start: 288
• Page End: 291
• Publication Date: 2018
• Subjects: VA ECMO veno-arterial extra-corporeal membrane oxygenation -- FDG PET-CT fluoro-deoxyglucose positron emission tomography – computer tomography -- FEV1 forced expiratory volume in 1 s -- DLCO diffusing capacity of the lung for carbon monoxide CO; Extra-corporeal membranous circulation -- Tracheal tumor -- Muscle flap; Surgery -- Periodicals; Surgical Procedures, Operative -- Periodicals; Surgery; Electronic journals; Periodicals; 617.005
• DOI: 10.1016/j.ijscr.2018.09.016
• Languages: English
• ISSNs: 2210-2612

Abstract

Highlights: Although rare, paraganglioma should be included in the differential diagnosis of an intra-thoracic membranous tracheal mass. Upfront non-circumferential surgical resection of paraganglioma may be indicated. Airway reconstruction can be performed using a latissimus dorsi flap. Extra-corporeal membrane oxygenation may be useful for tracheal repair. Abstract: 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.