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Otolaryngology – Head and Neck Surgery
Otolaryngology – Head and Neck Surgery

Palmaz Stent

Case 1: Three month old baby with complex congenital heart disease, unable to extubate secondary to severe collapse
(malacia) and extrinsic compression of distal trachea (Figure 1). Palmaz stent inserted endoscopically to stent trachea (Figure 2).
View of carina from within stented trachea (Figure 3). Immediate extubation was made possible.

Figure 1. Collapse of distal trachea

Figure 2. Palmaz stent in situ.

Figure 3. Excellent patency achieved.

Case 2: 8 month old with collapsed left lung secondary to complete extrinsic compression of left main bronchus following
cardiac transplantation (Figures 1,2 and 4). Vascular pexy failed to alleviate problem. Palmaz stent inserted into left main
bronchus with immediate re-expansion of lung (Figure 3).

Figure 1. CXR showing complete collapse of left lung.

Figure 2. Still collapse despite intubation and positive pressure ventilation.

Figure 3. Re-expansion of lung following insertion of Palmaz stent into left main bronchus.

Figure 4. Photo of collapsed left main bronchus. Also small suction induced granuloma of carina noted.

Figure 5. Palmaz stent in left main bronchus achieving excellent patency.

Figure 6. View from within stent showing distal patency of left upper and left lower bronchi.