Bronchoscopy in children with tetralogy of fallot, pulmonary atresia, and major aortopulmonary collaterals

Pediatric Pulmonology
Douglas R SidellPulmonary Artery Reconstruction Program at Stanford University

Abstract

Children with Tetralogy of Fallot, Pulmonary Atresia, and Major Aortopulmonary Collaterals (TOF/PA/MAPCAs) undergoing unifocalization surgery are at risk for developing more postoperative respiratory complications than children undergoing other types of congenital heart surgery. Bronchoscopy is used in the perioperative period for diagnostic and therapeutic purposes. In this study, we describe bronchoscopic findings and identify factors associated with selection for bronchoscopy. Retrospective case-control. All patients with TOF/PA/MAPCAs who underwent unifocalization surgery from September 2005 through March 2016 were included. Patients who underwent bronchoscopy in the perioperative period were compared to a randomly selected cohort of 172 control patients who underwent unifocalization without bronchoscopy during the study period. Forty-three children underwent perioperative bronchoscopy at a median of 9 days postoperatively. Baseline demographics were similar in bronchoscopy patients and controls. Patients who underwent bronchoscopy were more likely to have a chromosome 22q11 deletion and were more likely have undergone unifocalization surgery without intracardiac repair. These patients had a longer duration of mechanical ve...Continue Reading

References

Oct 14, 2000·American Journal of Otolaryngology·R Y Huang, N L Shapiro
Jan 25, 2007·Asian Cardiovascular & Thoracic Annals·Yukihiro KanekoKeiji Tsuchiya
Jul 19, 2008·Developmental Disabilities Research Reviews·Adriano CarottiBruno Marino
Oct 25, 2011·International Journal of Pediatric Otorhinolaryngology·C LeopoldJ-P Marie
Jan 15, 2013·The Journal of Thoracic and Cardiovascular Surgery·Laura Mercer-RosaElizabeth Goldmuntz
Feb 27, 2013·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Ritu AsijaStephen J Roth
May 23, 2016·The Annals of Thoracic Surgery·Richard D MainwaringFrank L Hanley

❮ Previous
Next ❯

Citations

May 24, 2018·Pediatric Pulmonology·William A GowerTerry L Noah
Aug 13, 2021·Seminars in Cardiothoracic and Vascular Anesthesia·Casey A QuinlanFaith J Ross

❮ Previous
Next ❯

Related Concepts

Related Feeds

Asthma

This feed focuses in Asthma in which your airways narrow and swell. This can make breathing difficult and trigger coughing, wheezing and shortness of breath.

Birth Defects

Birth defects encompass structural and functional alterations that occur during embryonic or fetal development and are present since birth. The cause may be genetic, environmental or unknown and can result in physical and/or mental impairment. Here is the latest research on birth defects.

22q11 Deletion Syndrome

22q11.2 deletion syndrome, also known as DiGeorge syndrome, is a congenital disorder caused by a partial deletion of chromosome 22. Symptoms include heart defects, poor immune system function, a cleft palate, complications related to low levels of calcium in the blood, and delayed development. Discover the latest research on this disease here.

Allergy and Asthma

Allergy and asthma are inflammatory disorders that are triggered by the activation of an allergen-specific regulatory t cell. These t cells become activated when allergens are recognized by allergen-presenting cells. Here is the latest research on allergy and asthma.