Document Detail


Anterior pericardial tracheoplasty for congenital tracheal stenosis.
MedLine Citation:
PMID:  1943189     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Congenital tracheal stenosis may be a life-threatening anomaly not relieved by airway intubation. Over the past 7 years, anterior pericardial tracheoplasty has been used at our institution for treatment of congenital long-segment tracheal stenosis in infants with impeding airway obstruction. Case histories of eight patients undergoing nine anterior pericardial tracheoplasties have been reviewed to assess this technique. Of these patients, six have required preoperative tracheal intubation before repair to maintain ventilation. The surgical technique of anterior pericardial tracheoplasty includes a median sternotomy approach with partial normothermic cardiopulmonary bypass. An anterior tracheotomy through all hypoplastic rings allows enlargement with autologous pericardium to 1.5 times the predicted normal diameter. After insertion, the pericardium and hypoplastic tracheal cartilages are suspended to surrounding mediastinal structures, which prevents airway collapse. Seven of eight infants have survived without tracheoplasty dehiscence or wound infections. Five were ultimately extubated and are currently free of symptoms from 6 months to 5 years after anterior pericardial tracheoplasty. The other two survivors had residual stenosis as a result of complications of prior tracheostomy. One of these patients has undergone a successful second anterior pericardial tracheoplasty and is currently extubated and well. The other is palliated at 6 months with a tracheostomy awaiting a second anterior pericardial tracheoplasty. Our review of anterior pericardial tracheoplasty has demonstrated the safety, utility, and at least medium-term benefit of this procedure in infants of any age and weight.
Authors:
D A Heimansohn; K A Kesler; M W Turrentine; Y Mahomed; L Means; B Matt; E Weisberger; J W Brown
Related Documents :
2976819 - Histology of the intestine in human gastroschisis--relationship to intestinal malfuncti...
2366719 - Temporary banding of the gastroesophageal juncture in a very small neonate with esophag...
15852289 - Premature closure of the upper esophageal sphincter as a cause of severe deglutition di...
23880519 - Placental htr2a methylation is associated with infant neurobehavioral outcomes.
8986999 - Recurrent apparent life-threatening event relieved by glossopexy.
14711869 - Urinary ascites and anuria caused by bilateral fungal balls in a premature infant.
19710679 - Does skin cleansing with chlorhexidine affect skin condition, temperature and colonizat...
8498659 - Ventilatory response to carbon dioxide in term infants after halothane and nitrous oxid...
10476149 - Infant feeding styles of west indian women.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of thoracic and cardiovascular surgery     Volume:  102     ISSN:  0022-5223     ISO Abbreviation:  J. Thorac. Cardiovasc. Surg.     Publication Date:  1991 Nov 
Date Detail:
Created Date:  1991-12-04     Completed Date:  1991-12-04     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0376343     Medline TA:  J Thorac Cardiovasc Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  710-5; discussion 715-6     Citation Subset:  AIM; IM    
Affiliation:
University Medical Center, Department of Surgery, Indianapolis, Ind.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Child
Child, Preschool
Humans
Male
Postoperative Complications
Reoperation
Tracheal Stenosis / congenital*,  surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Oncogene activation in esophageal cancer.
Next Document:  Surgical treatment of advanced thyroid carcinoma invading the trachea.