Case Description:
A 55-year- old gentleman presented with respiratory symptoms and was diagnosed with severe Covid-19 pneumonia and ARDS requiring oxygen support the ended up needing endotracheal intubation and mechanical ventilation for 13 days after which he was extubated. Unfortunately, he was re-intubated 9 days later after his respiratory status suddenly deteriorated needing mechanical ventilation for another 5 days. Around 4 weeks after discharge he presented with shortness of breath and stridor with chest CT scan showing critical narrowing at the level of second thoracic vertebra (Figures 1-3). Surgical treatment with tracheal stenosis resection and anastomosis was done under general anesthesia and ECMO. He was discharged home 8 days later in good general condition. Vigilance must be maintained not to miss this serious complication especially in the era of Covid-19 pandemic.