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tracheobronchomalacia, tracheobronchoplasty done 4 years ago - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2009
Answered : 675 Questions
User :   My dad is suffering from tracheobronchomalacia, had performed surgery on him once , which helped for awhile, but he's progressively getting worse, MUCH worse. He blacked out today because of it. Are there any other treatment options?
Doctor :   hi
Doctor :   Dr. XXXXXXXX here.
Doctor :   let me read what you have typed
User :   Hello Dr.
Doctor :   what symptoms does he have at present?
Doctor :   Tracheobronchomalcia is a condition that is characterized by excessive airway collapsibility, which is caused by weakness of the airway walls and supporting cartilage
User :   Well, he can't exercise at all without passing out. Just walking up or down a few steps at all leaves him extremely winded. He's constantly wheezing. Today he was merely laughing, which brings about coughing for him, and then his eyes closed, he slowly buckled over and it took a few minutes to get him up and talking. He didn't remember a thing
Doctor :   as I said his problem is due to lack of cartilage in few areas in the airways
Doctor :   so any increase in the chest pressure will make his airways collapse
Doctor :   and he will faint/black out.
Doctor :   it is a sudden thing happening to him, so he will not remember anything.
Doctor :   what procedure (surgery) was done for him and when was it done?
User :   Well they tried to put a stint into his trachea, but his body rejected it, so they tried what I believe is called an angioplasty behind his trachea to brace his trachea and stop the collapsing. It worked but it's only protecting the upper part of his trachea and the bottom part is also collapsing. This was done by Dr. XXXXXXXX Ashiku in Boston, about 4 years ago now
Doctor :   usually a tracheobronchoplasty is done for severely symptomatic patients. was this the surgery done for him?
User :   I apologize for my slow typing
User :   Yes!! That's what it was!
Doctor :   ok. what you describe suggests that this was the surgery done
Doctor :   now if the procedure is not helping him, it means that his condition has gone worse
Doctor :   and he might need a repeat tracheobronchoplasty
Doctor :   to help him with his symptoms.
Doctor :   meanwhile it should be tried that the chest pressure does not increase
Doctor :   such that the collapse of airways can be prevented
Doctor :   any previous identified situations that lead to his symptoms or to call as 'attack' should be avoided
User :   So there are no other options to stop his trachea from collapsing? By any chance do you know how I could find out how to contact to have this performed again?
Doctor :   yes there is no options to control it
Doctor :   as it is a progressive disease
Doctor :   you have contact his previous doctor
Doctor :   or visit someone new
Doctor :   he should be a cardiothoracic surgeon or a pulmonologist
Doctor :   to be able to handle his problem
User :   Alright, thank you very much only 10 secs left. I appreciate your help
Doctor :   thanks for consulting me. bye for now
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