| One slide fits all: the versatility of slide tracheoplasty with cardiopulmonary bypass support for airway reconstruction in children. | |
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MedLine Citation:
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PMID: 21055774 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: This study describes results of tracheal reconstruction in children with slide tracheoplasty with cardiopulmonary bypass and identifies predictors for adverse outcomes. METHODS: Preoperative characteristics, operative variables, and outcome measures were collected for children undergoing slide tracheoplasty with cardiopulmonary bypass between April 2001 and October 2009. Predictors of worse outcomes were identified by bivariate analysis. Multiple regression analysis was performed for predictors of prolonged hospital stay. RESULTS: Cohort included 80 patients (median age, 8.7 months; 7 days-21 years). Forty-eight patients had associated cardiac or great vessel anomalies; 24 had simultaneous repair of cardiovascular anomaly at tracheal reconstruction. Fifty (63%) were extubated within 48 hours after operation. Median stay was 18.5 days (range, 7-119 days). Twenty-three patients (29%) required significant airway reintervention during median follow-up of 12 months (range, 4 months-7.8 years). There were 4 deaths, 2 early and 2 late. In bivariate analysis, age (P = .017), cardiopulmonary bypass duration (P = .025), and duration of mechanical ventilation (P < .05) were associated with mortality; duration of postoperative mechanical ventilation was associated with need for significant airway reintervention (P = .009). Multiple regression analysis indicated preoperative ventilatory support (P < .001), longer cardiopulmonary bypass (P = .002), previous airway operation (P = .01), and need for significant airway reintervention (P < .001) as predictors of longer hospital stay. CONCLUSIONS: Slide tracheoplasty with cardiopulmonary bypass can be performed with low mortality in a diverse pediatric population. This technique minimizes need for early significant airway reintervention in most cases. |
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Authors:
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Peter B Manning; Michael J Rutter; Asher Lisec; Resmi Gupta; Bradley S Marino |
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Publication Detail:
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Type: Journal Article Date: 2010-11-05 |
Journal Detail:
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Title: The Journal of thoracic and cardiovascular surgery Volume: 141 ISSN: 1097-685X ISO Abbreviation: J. Thorac. Cardiovasc. Surg. Publication Date: 2011 Jan |
Date Detail:
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Created Date: 2010-12-20 Completed Date: 2011-01-13 Revised Date: 2011-08-31 |
Medline Journal Info:
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Nlm Unique ID: 0376343 Medline TA: J Thorac Cardiovasc Surg Country: United States |
Other Details:
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Languages: eng Pagination: 155-61 Citation Subset: AIM; IM |
Copyright Information:
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Copyright © 2011 The American Association for Thoracic Surgery. Published by Mosby, Inc. All rights reserved. |
Affiliation:
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Division of Cardiothoracic Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio 45229, USA. peter.manning@cchmc.org |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Cardiopulmonary Bypass* / adverse effects, mortality Chi-Square Distribution Child Child, Preschool Female Heart Defects, Congenital / complications, surgery Humans Infant Infant, Newborn Length of Stay Male Ohio Regression Analysis Reoperation Respiration, Artificial Retrospective Studies Risk Assessment Risk Factors Sternotomy Thoracic Surgical Procedures* / adverse effects, mortality Time Factors Trachea / surgery* Tracheal Stenosis / complications, mortality, surgery* Treatment Outcome Vascular Malformations / complications, surgery Young Adult |
| Comments/Corrections | |
Comment In:
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J Thorac Cardiovasc Surg. 2011 Aug;142(2):475
[PMID:
21763881
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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