Document Detail


Long segment congenital tracheal stenosis in twins successfully treated by slide tracheoplasty.
MedLine Citation:
PMID:  19302875     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Long segment congenital tracheal stenosis (LSCTS), associated with complete tracheal rings, is a rare condition, difficult to manage and historically associated with high mortality rate. We report two pairs of identical twins all affected by LSCTS successfully treated by sliding tracheoplasty. All had severe respiratory distress. Three infants had left pulmonary artery (LPA) sling and one intra-cardiac malformation. Slide tracheoplasty was done under cardiopulmonary bypass, and cardiovascular malformations were corrected at the same time. One child needed plication of paralyzed right hemi-diaphragm and another distal tracheal Palmaz stent insertion due severe tracheobronchomalacia. All children are doing well during 6 months follow-up. Slide tracheoplasty seems to produce the same good early results in twins as for singletons with LSCTS.
Authors:
Jose Carlos Fraga; Haney O S Gabra; Emmeline E Calkoen; Clare A McLaren; Derek J Roebuck; Martin J Elliott
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of pediatric surgery     Volume:  44     ISSN:  1531-5037     ISO Abbreviation:  J. Pediatr. Surg.     Publication Date:  2009 Mar 
Date Detail:
Created Date:  2009-03-23     Completed Date:  2009-07-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0052631     Medline TA:  J Pediatr Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  640-3     Citation Subset:  IM    
Affiliation:
The Tracheal Service, The Great Ormond Street Hospital for Children, WC1N 3JH London, United Kingdom.
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MeSH Terms
Descriptor/Qualifier:
Abnormalities, Multiple
Bronchoscopy
Cleft Palate / epidemiology
Diseases in Twins / surgery*
Female
Heart Septal Defects, Atrial / epidemiology,  surgery
Humans
Infant, Newborn
Pulmonary Artery / surgery
Trachea / surgery*
Tracheal Stenosis / surgery*
Twins, Monozygotic

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


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