Ossification of an intercostal flap after carinal resection: long-term concerns of a 'protection maneuver'.
W. Torre (a), N. Rodriguez-Spiteri (a), C. Garran (b) and F. Bergaz (c)
(a) Services of General Thoracic Surgery, Clinica Universitaria, Universidad de Navarra, Pamplona, Spain
(b) Services of Oncology, Clinica Universitaria, Universidad de Navarra, Pamplona, Spain
(c) Services of Radiology, Clinica Universitaria, Universidad de Navarra, Pamplona, Spain
This CT-scan shows an ossification of the flap of two intercostal muscles 6 months after a carinal resection with reconstruction of the tracheo-bronchial tree using the Barclay's technique in a 39-year-old patient with a lower-third tracheal adenoid cystic carcinoma. Some degree of stenosis can also be seen at the level of the right main bronchus. A stent was placed but migrated.
The picture is striking, because it looks like a hangman's noose around the neck. Recurrence was ruled out. Two years later the images have not changed. The patient is asymptomatic and continues to lead an active life although there is a slight decrease in lung function tests.
CITATION Eur J Cardiothorac Surg. 2003 Aug;24(2):306