DISCUSSION: DM is a disease process known to cause numerous systemic symptoms. Myopathy is most common, but extra-neuromuscular symptoms can persist despite standard therapy. Rare cases of DM have resulted in panniculitis, vasculitis and malakoplakia, but rarely have mucocutaneous affects been described. Similarly, although ILD has been reported in up to 10% of DM cases, there have been no reports of large airway involvement. Our patient succumbed to tracheal erosions, likely as result of his autoimmunity. Airway stents have been a palliative tool to bipass obstructive lesions or bronchopleural fistulae. The use of abutting stent placement is helpful in treating larger lesions. Our case presented a particular challenge given the impressive area of erosion. We placed multiple stents from the left main bronchus to below the vocal cords. Our goal was to bypass the airway deficits to avoid any further pneumomediastinum. This effectively bypassed the right mainstem bronchus, allowing for atelectasis to promote healing of distal lesions. Results were intended to act as a “pneumonectomy” via endobronchial means in a patient that would not tolerate surgery. We believe this to be a novel approach to a complicated situation in which the trachea is compromised.