• 1 Respiratory, Sunway Medical Centre Velocity, Kuala Lumpur, Malaysia
  • 2 Respiratory, National University of Malaysia Faculty of Medicine, Kuala Lumpur, Malaysia
  • 3 Pulmonology, Hospital Serdang, Kajang, Selangor, Malaysia
BMJ Case Rep, 2020 Dec 22;13(12).
PMID: 33370965 DOI: 10.1136/bcr-2020-236414


Tracheal tear after endotracheal intubation is extremely rare. The role of silicone Y-stent in the management of tracheal injury has been documented in the previous studies. However, none of the studies have mentioned the deployment of silicone Y-stent via rigid bronchoscope with the patient solely supported by extracorporeal membrane oxygenation (ECMO) without general anaesthesia delivered via the side port of the rigid bronchoscope. We report a patient who had a tracheal tear due to endotracheal tube migration following a routine video-assisted thoracoscopic surgery sympathectomy, which was successfully managed with silicone Y-stent insertion. Procedure was done while she was undergoing ECMO; hence, no ventilator connection to the side port of the rigid scope was required. This was our first experience in performing Y-stent insertion fully under ECMO, and the patient had a successful recovery.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.