気管気管支軟骨異形成症に対し気管内チューブイントロデューサを用いて開心術を施行した1例

Open Heart Surgery Using an Endotracheal Tube Introducer in a Patient with Tracheobronchopathia Osteochondroplastica；Report of a Case

はじめに　気管気管支軟骨異形成症（TO）は，気管気管支の粘膜下に多数の骨性・軟骨性結節を伴うのが特徴のまれな疾患である．われわれは，挿管困難であったTOを合併した心房中隔欠損（ASD）に対し，気管内チューブイントロデューサ（ポーテックス：スミス・メディカル社，東京）を用いて経口挿管し，心内修復術を施行したので報告する．

A 65-year-old man with tracheobronchopathia osteochondroplastica was referred to our hospital for exertional dyspnea and was diagnosed with atrial septum defect （ASD）. We planned to close the ASD under intubation but were unable to intubate due to osseous nodules in the tracheal wall. Four months later, the patient was successfully intubated using an endotracheal tube introducer. Thus, we were able to complete closure of ASD under cardiac-pulmonary bypass.