Document Detail


Surgical treatment of airway obstruction associated with congenital heart disease in infants and small children.
MedLine Citation:
PMID:  1931092     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In the last 12 years, 21 patients age 1 month to 5 years (median, 7 months) underwent surgical treatment for severe airway obstruction associated with congenital heart disease. Plico-suspension of the pulmonary artery was carried out in 14 patients with documented severe left bronchial compression by a distended pulmonary artery together with repair of ventricular septal defects (11 patients), repair of large coronary artery fistula (1), division of ductus (1) and pulmonary artery banding (1), with subsequent significant relief of compression. Aortopexy was used in 2 patients with documented severe tracheal compression by a right aortic arch. Five patients had congenital tracheal stenoses (3 extensive, 2 localized). Two of 3 patients with associated complex intracardiac anomalies underwent concomitant repair of both lesions with the use of cardiopulmonary bypass and 1 had a tracheoplasty and pulmonary artery banding. Tracheal reconstruction with a cartilaginous graft together with repair of pulmonary artery sling was carried out in 2 infants. Nineteen patients are alive and well, at a mean follow-up of 87 months. In conclusion, we advocate early aggressive surgical intervention to both lesions to obtain a better result in the management of infants and small children with this difficult and often fatal combination.
Authors:
M Yamaguchi; H Ohashi; Y Hosokawa; Y Oshima; C Tsugawa; K Kimura
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery     Volume:  5     ISSN:  1010-7940     ISO Abbreviation:  Eur J Cardiothorac Surg     Publication Date:  1991  
Date Detail:
Created Date:  1991-12-09     Completed Date:  1991-12-09     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8804069     Medline TA:  Eur J Cardiothorac Surg     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  479-85     Citation Subset:  IM    
Affiliation:
Department of Cardiothoracic Surgery, Kobe Children's Hospital, Japan.
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MeSH Terms
Descriptor/Qualifier:
Airway Obstruction / etiology,  pathology,  surgery*
Aorta, Thoracic / pathology
Bronchial Diseases / etiology,  pathology,  surgery
Child, Preschool
Constriction, Pathologic / etiology,  pathology,  surgery
Heart Defects, Congenital / complications*,  pathology,  surgery
Heart Septal Defects, Ventricular / complications,  surgery
Humans
Infant
Pulmonary Artery / pathology,  surgery
Tracheal Stenosis / congenital,  etiology,  pathology,  surgery

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