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.