Bronchoscopy & Tube Replacement

PATIENT NAME: KO, KANGWEI
DATE OF OPERATION: 11/06/2014
MEDICAL RECORD #: 40498087
ENCOUNTER #: 500007724577
SURGEON: LAWRENCE GLASSMAN 057166

OPERATIVE REPORT

DOB: 10/24/1976

FIRST ASSISTANT: ALAN ROY HARTMAN, MD (088237)

PREOPERATIVE DIAGNOSES: Tracheal stenosis.
POSTOPERATIVE DIAGNOSIS: Tracheal stenosis.

NATURE OF OPERATION: Flexible bronchoscopy.

CLINICAL SUMMARY AND OPERATIVE FINDINGS: This is a 38-year-old gentleman in the operating room immediately after aortic valve replacement. He had a know tracheal stenosis and bronchoscopy, was requested to evaluate this area.

PROCEDURE: The patient was under general endotracheal anesthesia with a 7.0 endotracheal tube, which had passed with a slight difficulty across the area of stenosis. A flexible bronchoscope was introduced through the airway and the endotracheal tube was gradually withdrawn. The carina and distal airways were normal. The distal trachea was normal. The proximal subglottic trachea had a short segment tracheal stenosis, which was circumferential, slightly oval in appearance and mildly to moderately narrowed about 7 mm in diameter. The decision was then made to maintain the airway with a slightly larger tube. A tube exchanger was inserted and a 7.5 endotracheal tube was able to be passed across the area of stenosis and this was then secured in standard fashion. The patient tolerated the procedure well.

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DICT:      LAWRENCE GLASSMAN, MD (057166) 11/06/2014 04:19 PM
TRANS:   PJAMT3/V_JDSEN_P 11/06/2014 04:26 PM
JOB:       2081046

Electronically Signed by: LAWRENCE RICHAR GLASSMAN 11/16/2014 08:13:20 AM