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Pediatric Surgery International

Erschienen in:

09.09.2022 | Original Article

Surgical management of congenital tracheal stenosis associated with complex cardiovascular anomalies

verfasst von: Keiichi Morita, Tadashi Hatakeyama

Erschienen in: Pediatric Surgery International | Ausgabe 12/2022

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Abstract

Purpose

Although surgical outcomes have improved in patients with congenital tracheal stenosis (CTS), the management of such patients with complex cardiovascular anomalies (CVAs) remains a challenge. This study aimed to clarify the clinical features of this combination.

Methods

Medical records of 14 patients with complex CVAs who had undergone slide tracheoplasty for CTS between May 2016 and February 2022 were retrospectively reviewed. Complex CVAs were defined as CVAs without left pulmonary artery sling and simple cardiac shunts. Data collected included age and body weight at tracheal reconstruction, preoperative respiratory support, surgery details, and mortality.

Results

The median age and body weight at tracheal reconstruction were 3.5 (range, 1–17) months and 4.7 (range, 2.3–8.2) kg, respectively. Simultaneous repair of CTS and CVAs was performed in eight patients and staged repair in six patients. Patients who underwent simultaneous repair required preoperative respiratory support more frequently than those who underwent staged repair (8/8 [100%] vs 2/6 [33.3%]; P = 0.015). No mortality occurred.

Conclusions

Patients with complex CVAs often require tracheal reconstruction in early infancy. Surgical management strategy for this combination was generally decided on the basis of the severity of respiratory symptoms due to CTS.

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Titel: Surgical management of congenital tracheal stenosis associated with complex cardiovascular anomalies
verfasst von: Keiichi Morita
Tadashi Hatakeyama
Publikationsdatum: 09.09.2022
Verlag: Springer Berlin Heidelberg
Erschienen in: Pediatric Surgery International / Ausgabe 12/2022
Print ISSN: 0179-0358
Elektronische ISSN: 1437-9813
DOI: https://doi.org/10.1007/s00383-022-05206-y

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