| Preoperative diagnosis by electron beam computed tomography and perioperative management of primary tracheal anomalies in tetralogy of Fallot. | |
| | |
MedLine Citation:
|
PMID: 11265256 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
PURPOSE: To investigate the usefulness of electron beam computed tomography (EBCT) in the preoperative detection and perioperative management of insidious concomitant primary tracheobronchial anomalies in patients with tetralogy of Fallot (TF). METHODS: From July 1995 to October 1999, 88 children (38 girls, 50 boys) with TF were enrolled in this study. EBCT examinations provided information needed to plan management. The final diagnoses of airway abnormalities were correlated with the findings of bronchoscopy in five patients and confirmed during surgery. RESULTS: Fourteen (16%) of the 88 patients had associated primary tracheobronchial anomalies. Nine patients had tracheal bronchi, which were combined with tracheobronchial stenosis in two patients and with tracheal stenosis in one patient. Two patients had tracheal diverticulum, which was combined with lower tracheal stenosis in one patient. Two patients had congenital tracheal stenosis. Tracheomalasia was found in one patient. Three patients with ventilation difficulties died postoperatively. Special attention was given to the care of the diseased airways perioperatively, and the remaining 11 patients had a smooth course of hospitalization and discharge. CONCLUSIONS: Our results show that EBCT provides good delineation of both cardiac and tracheobronchial anomalies and suggest that it should be used perioperatively to detect associated airway anomalies in TF, to facilitate the design of an appropriate ventilation care strategy. |
| | |
Authors:
|
S J Chen; C I Chang; I S Chiu; J K Wang; C D Lin; H Y Chen; H C Lue; Y W Li |
Related Documents
:
|
20938446 - Survival after short- or long-term ventilation after acute spinal cord injury: a single... 21573246 - Patient-specific prosthetic fingers by remote collaboration-a case study. 2924616 - Noninvasive face mask ventilation in patients with acute respiratory failure. 1911026 - Aura: a new respiratory monitor and apnoea alarm for spontaneously breathing patients. 20627186 - Clinical instability as a predictor of negative outcomes among elderly patients admitte... 19006536 - The safety profile of anti-tnf therapy in inflammatory bowel disease in clinical practi... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Journal of the Formosan Medical Association = Taiwan yi zhi Volume: 100 ISSN: 0929-6646 ISO Abbreviation: J. Formos. Med. Assoc. Publication Date: 2001 Jan |
Date Detail:
|
Created Date: 2001-03-26 Completed Date: 2001-04-05 Revised Date: 2004-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 9214933 Medline TA: J Formos Med Assoc Country: China (Republic: 1949- ) |
Other Details:
|
Languages: eng Pagination: 26-31 Citation Subset: IM |
Affiliation:
|
Department of Medical Imaging, Medical College and Hospital, National Taiwan University, 7 Chung-Shan South Road, Taipei, Taiwan. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Bronchi / abnormalities* Child Child, Preschool Female Humans Infant Infant, Newborn Male Tetralogy of Fallot / radiography, surgery* Tomography, X-Ray Computed* Trachea / abnormalities*, radiography |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Disability-adjusted life years for breast cancer patients in Taiwan.
Next Document: Increased soluble Fas ligand concentration in tuberculous pleural effusion.