Document Detail


Autopericardial patch tracheoplasty for tracheal stenosis after arterial switch operation.
MedLine Citation:
PMID:  15854090     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Though congenital tracheal stenosis in infants with congenital heart disease is uncommon, congestive heart failure is often deteriorated by respiratory symptoms. We report an infant having a diagnosis of congenital tracheal stenosis complicated with congenital heart disease who underwent pericardial patch tracheoplasty after the arterial switch operation for the transposition of the great arteries. External appearance of the trachea showed no stenosis and tracheal rings were well formed. Intraoperative bronchofiberscopy transilluminated the upper border of stenosis. The trachea was opened longitudinally to the extent of 30 mm to the point from 10 mm point proximal to the bifurcation. The incision was enlarged with the autologous pericardial patch using running absorbable suture. Then pericardial patch was anchored at several points to the posterior surface of the ascending aorta, innominate artery, and to the strap muscles of the neck. He is doing well now without any respiratory symptom.
Authors:
Makoto Takiguchi; Mitsuru Aoki; Toshiharu Shin'oka; Takeshi Hiramatsu; Yasuharu Imai
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of cardiac surgery     Volume:  20     ISSN:  0886-0440     ISO Abbreviation:  J Card Surg     Publication Date:    2005 May-Jun
Date Detail:
Created Date:  2005-04-27     Completed Date:  2005-08-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8908809     Medline TA:  J Card Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  264-6     Citation Subset:  IM    
Affiliation:
Department of Cardiovascular Surgery, The Heart Institute of Japan, Tokyo Women's Medical University, Tokyo, Japan. m-takky@m5.dion.ne.jp
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MeSH Terms
Descriptor/Qualifier:
Absorbable Implants
Cardiac Surgical Procedures / adverse effects,  methods
Follow-Up Studies
Heart Catheterization / methods
Humans
Infant, Newborn
Magnetic Resonance Imaging
Male
Pericardium / transplantation*
Postoperative Complications / diagnosis,  surgery*
Risk Assessment
Suture Techniques
Sutures
Thoracic Surgical Procedures / methods*
Tomography, X-Ray Computed
Tracheal Stenosis / diagnosis,  etiology,  surgery*
Transposition of Great Vessels / radiography,  surgery*
Treatment Outcome
Vascular Surgical Procedures / adverse effects*,  methods

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


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