Document Detail

Concomitant repair of congenital tracheal stenosis and complex cardiac anomaly in small children.
MedLine Citation:
PMID:  2385116     Owner:  NLM     Status:  MEDLINE    
Severe obstructive lesion of the trachea combined with complex congenital cardiac anomaly has generally been regarded as a fatal disease. Herein we report the successful concomitant repair of severe tracheal stenosis and complex cardiac anomaly with the use of cardiopulmonary bypass in two cases. The first patient was a 5-year-old boy with tetralogy of Fallot associated with a localized intrathoracic tracheal stenosis caused by complete cartilaginous rings. Tracheal resection and end-to-end anastomosis combined with total correction of tetralogy of Fallot was performed with the aid of cardiopulmonary bypass. The second patient was a 5-month-old girl with a pulmonary artery sling, scimitar syndrome, and extensive tracheal stenosis. The patient underwent definitive correction of cardiac lesions and complete tracheal reconstruction with a cartilaginous graft with the aid of cardiopulmonary bypass. Utmost care was paid to avoid contamination during the operation. Both of the patients are doing well at present without any signs of complication, 2 years 5 months and 1 year 10 months after the operation, respectively. We advocate concomitant repair of both lesions, with cardiopulmonary bypass, in the surgical managements of infants and small children who have a difficult and otherwise fatal combination of complex congenital cardiac anomaly and severe intrathoracic tracheal stenosis.
M Yamaguchi; Y Oshima; Y Hosokawa; H Ohashi; C Tsugawa; E Nishijima; N Tsubota
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of thoracic and cardiovascular surgery     Volume:  100     ISSN:  0022-5223     ISO Abbreviation:  J. Thorac. Cardiovasc. Surg.     Publication Date:  1990 Aug 
Date Detail:
Created Date:  1990-09-14     Completed Date:  1990-09-14     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:  181-7     Citation Subset:  AIM; IM    
Department of Thoracic-Cardiovascular Surgery, Kobe Children's Hospital, Japan.
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MeSH Terms
Cardiopulmonary Bypass
Child, Preschool
Pulmonary Artery / abnormalities
Scimitar Syndrome / surgery*
Tetralogy of Fallot / surgery*
Tracheal Stenosis / congenital*,  surgery
Comment In:
J Thorac Cardiovasc Surg. 1990 Aug;100(2):316-7   [PMID:  2385132 ]

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

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