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Computed tomography (CT) images at the first onset of "asphyxia at the table." Oesophagus (arrows) and the left main bronchus were crossing at a right angle and were being compressed by a vertebra. Intrathoracic fat density represents inserted omentum and latissimus dorsi muscle during the repairing operation for empyema.
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Computed tomography (CT) images and bronchoscopy showed compression of the membranous portion of the left main bronchus (Fig. 1).
(A)-(D) Fluoroscopic view of double stenting and corresponding endoscopic views. phi 14 mm stent (distal) and phi 16 mm stent (proximal) were overlapped at the length of 3 cm.
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Because the strength of single stents might not be sufficient to sustain the bronchial lumen at that carinal portion, we used two nitinol stents (Covered Ultraflex , phi 14 mm, length 8 cm and phi 16 mm, length 8 cm, Boston Scientific Corporation, Massachusetts, USA) that were placed partially overlapped for a length of 3 cm (Fig. 2).