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02-07-2022 | Incision | Original Article

Successful surgical treatment of congenital tracheal stenosis combined with tracheal bronchus and left pulmonary artery sling: a 10-year single-institution experience

Authors: Toshio Harumatsu, Naoki Shimojima, Hirofumi Tomita, Akihiro Shimotakahara, Koji Komori, Satoshi Ieiri, Seiichi Hirobe

Published in: Pediatric Surgery International | Issue 10/2022

Abstract

Purpose

Radical surgery for congenital tracheal stenosis (CTS) is technically demanding. CTS combined with tracheal bronchus (TB) and pulmonary artery (PA) sling is a particularly challenging condition. We herein report our successfully modified surgical techniques for CTS combined with TB and PA sling.

Methods

Nine patients treated at our institution from July 2010 to December 2020 for CTS with TB and PA sling were enrolled. The patients’ characteristics, operative results, and clinical outcomes were reviewed and analyzed retrospectively.

Results

The mean age at the operation and body weight were 8.0 ± 4.4 months old and 6.5 ± 0.8 kg, respectively. The mean tracheal diameter and length of the stenotic lesion were 3.2 ± 1.0 mm (mean stenosis rate 46.2%) and 25.4 ± 4.9 mm, respectively. All cases were complicated with PA sling at bifurcation stenosis with tracheobronchomalacia. All patients underwent modified posterior-anterior slide tracheoplasty with an inverted Y-shaped incision at the bifurcation and repositioning of the PA. The mean postoperative intubation period was 25.0 ± 32.1 days. There were no major intraoperative or postoperative complications, including hypoxic-ischemic encephalopathy. The mean hospital stay was 92.2 ± 73.4 days. All patients were discharged home without tracheostomy or oxygen support.

Conclusion

Our slide tracheoplasty technique for CTS with TB and PA sling achieved excellent outcomes.

Level of evidence

Level IV.

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Title: Successful surgical treatment of congenital tracheal stenosis combined with tracheal bronchus and left pulmonary artery sling: a 10-year single-institution experience
Authors: Toshio Harumatsu
Naoki Shimojima
Hirofumi Tomita
Akihiro Shimotakahara
Koji Komori
Satoshi Ieiri
Seiichi Hirobe
Publication date: 02-07-2022
Publisher: Springer Berlin Heidelberg
Keywords: Incision
Tracheostomy
ECMO
ECMO
Published in: Pediatric Surgery International / Issue 10/2022
Print ISSN: 0179-0358
Electronic ISSN: 1437-9813
DOI: https://doi.org/10.1007/s00383-022-05161-8

At a glance: The STEP trials

Springer Medicine

Successful surgical treatment of congenital tracheal stenosis combined with tracheal bronchus and left pulmonary artery sling: a 10-year single-institution experience

Abstract

Purpose

Methods

Results

Conclusion

Level of evidence

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

Level of evidence

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