Document Detail

Balloon dilatation in management of postoperative airway obstruction due to tracheal bronchus associated with right main bronchial stenosis: emphasizing the role of three-dimensional computed tomography on preoperative evaluation.
MedLine Citation:
PMID:  20575091     Owner:  NLM     Status:  MEDLINE    
Three-dimensional computed tomography (3D-CT) not only allows accurate preoperative delineation of the lesions but also provides precise pathomechanic diagnosis for planning the most effective treatment to avoid respiratory compromise. In a 10-month-old baby girl, who was ventilator-dependent after successful correction of double outlet right ventricle (DORV), flexible fiberoptic bronchoscopy (FFB) revealed the new formation of postoperative airway obstruction over the right main bronchus (RMB) and obstructed right tracheal bronchus (RTB). 3D-CT demonstrated tracheobronchial obstruction (TBO) was caused by the dilated ascending aorta (AAo) and right pulmonary artery (RPA). Sequential treatments including artery pexy of AAo and RPA and balloon dilatation (BD) of the stenotic RTB and RMB had successfully restored the airway patency. The patient was successfully weaned from ventilator 2 days after treatments and has shown no respiratory difficulty thus far. Thus, the impact of preoperative 3D-CT on planning treatment cannot be emphasized.
Shu-Min Kuo; Ming-Ling Yang; Yi-Ching Li; Teng-Fu Tsao; Shu-Chuan Liu; Fong-Lin Chen
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Pediatric pulmonology     Volume:  45     ISSN:  1099-0496     ISO Abbreviation:  Pediatr. Pulmonol.     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-08-02     Completed Date:  2010-11-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8510590     Medline TA:  Pediatr Pulmonol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  730-3     Citation Subset:  IM    
Division of Cardiovascular Surgery, Chung Shan Medical University Hospital, Taichung, Taiwan.
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MeSH Terms
Airway Obstruction / etiology,  radiography*,  therapy*
Balloon Dilation*
Bronchi / physiopathology
Bronchoscopy / methods
Imaging, Three-Dimensional / methods*
Postoperative Complications / etiology,  radiography*,  therapy*
Pulmonary Artery
Respiration, Artificial / adverse effects
Tomography, X-Ray Computed / methods*
Tracheal Stenosis / radiography*,  therapy*
Treatment Outcome

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