Inspection bronchoscopy during percutaneous dilational tracheostomy has become the standard of care to reduce complications of the procedure. During bronchoscopy, anatomic defects can be visualized before performing the procedure. We describe a case of discovering herniated tracheal rings in preprocedure bronchoscopy and subsequent treatment of this rare finding.
Division of Pulmonary and Critical Care Medicine, Virginia Commonwealth University Medical Center, Richmond, VA
There was no pharmaceutical or industrial support.
There are no disclosures for any of the authors.
Reprints: Wes Shepherd, MD, FCCP, Division of Pulmonary and Critical Care Medicine, Virginia Commonwealth University Medical Center, PO Box 980050, Richmond, VA 23298 (e-mail: firstname.lastname@example.org).
Received for publication May 12, 2009
accepted May 26, 2009
There is no conflict of interest.