Tracheal stenosis is a frequent problem that in most cases is a complication of prolonged intubation. When the stenosis impairs more than half of the length of the trachea, it is not technically feasible to make a resection with a terminoterminal anastomosis.1 In this clinical context, tracheal transplantation is a therapeutic alternative. We report the case of a patient in whom a vascularizedtracheal transplantation was performed successfully and emphasize the importance of an imaging evaluation, particularly with ultrasonography.

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