Document Detail

Concomitant management of airway and its adjacent vascular pathology in addition to repair of congenital cardiac defects.
MedLine Citation:
PMID:  10817858     Owner:  NLM     Status:  MEDLINE    
Respiratory symptoms are often present in infants with congenital cardiac anomalies, but the intrinsic pathology of the airway itself or external compression by abnormal vessels is frequently undetected before cardiac repair. We collected 12 patients with airway pathology from July 1996 to October 1998; all had definite diagnosis of lesions of the airway and its adjacent vessels by preoperative ultrafast computed tomography. Four had intrinsic pathology (one retrotracheal diverticulum, three tracheal stenosis) as well as external compression. Among them, six had complete vascular ring, four partial rings and three had bronchial compression by aneurysmal dilatation of branch pulmonary arteries. Simultaneous airway repair (one diverticulectomy, three patch tracheoplasty) and external decompression were performed in ten cases under cardiopulmonary bypass, nine of ten had simultaneous cardiac repair; the other two were done before cardiac repair. All survived except three. We concluded that ultrafast computed tomography is indispensable for definite diagnosis of airway and adjacent cardiovascular pathology. Mere repair of congenital cardiac defects without rectification of the airway and its adjacent structures is incompatible with survival.
H M Chen; I S Chiu; S J Chen; S J Wu; C H Chan
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  International journal of cardiology     Volume:  73     ISSN:  0167-5273     ISO Abbreviation:  Int. J. Cardiol.     Publication Date:  2000 Apr 
Date Detail:
Created Date:  2000-07-18     Completed Date:  2000-07-18     Revised Date:  2006-07-12    
Medline Journal Info:
Nlm Unique ID:  8200291     Medline TA:  Int J Cardiol     Country:  IRELAND    
Other Details:
Languages:  eng     Pagination:  181-9     Citation Subset:  IM    
Departments of Surgery and Medical Imaging National Taiwan University Hospital, Taipei, Taiwan.
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MeSH Terms
Aorta / abnormalities,  surgery
Brachiocephalic Trunk / abnormalities,  surgery
Bronchial Diseases / etiology,  radiography*,  surgery*
Child, Preschool
Constriction, Pathologic / complications,  surgery
Heart Defects, Congenital / complications*,  radiography,  surgery*
Infant, Newborn
Pulmonary Artery / abnormalities,  surgery
Tomography, X-Ray Computed / methods
Tracheal Diseases / etiology,  radiography*,  surgery*
Treatment Outcome

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