Real‐time confirmation of tracheal decompression

Aims The primary objective was to highlight the role of intraoperative bronchoscopic guidance during the management of central airway obstruction. Materials & Methods A 6‐month‐old child presented with recurrent chest infections due to innominate artery compression of distal trachea. Aortopexy was performed under real‐time bronchoscopic guidance. Results Intraoperative bronchoscopic guidance helped in confirm a successful release of the central airway obstruction. Discussion When operations similar to aortopexy are performed for release of airway obstructions, intraoperative bronchoscopic guidance is a valuable tool for confirming a successful outcome. Conclusion The successful surgical management of central airway obstruction due to an innominate artery compression of the distal trachea under real‐time bronchoscopic guidance in a 6‐month‐old child is described.