The role of aortopexy in severe tracheomalacia

Journal of Pediatric Surgery
Sumit Dave, Bruce G Currie

Abstract

Aortopexy is the accepted operative treatment for severe and localized tracheomalacia (TM). The standard surgical approach involves a left anterior thoracotomy, often under bronchoscopic control. We report the results of aortopexy in 28 children with severe and localized TM; 12 had a left lateral muscle-sparing approach and one had a thoracoscopic aortopexy. Retrospective review of patient notes was performed to note the indications, investigation findings, and postoperative course after aortopexy. The median age at aortopexy was 5 months. The indications included acute life-threatening events in 22, failure to extubate in 5, and recurrent pneumonia in 1. Fifteen had associated esophageal atresia and 13 had primary TM. Symptoms of TM were abolished in 26 of the 28 patients after aortopexy. Aortopexy is a safe and reliable procedure to treat localized intrathoracic TM presenting with acute life-threatening events. It is important to exclude associated problems such as vascular rings and to ensure that the tracheomalacic portion is segmental and does not significantly involve the main bronchi. The lateral muscle-sparing thoracotomy provides good access and is more cosmetic than the standard anterior approach. We would attempt the...Continue Reading

References

Jun 1, 1986·Journal of Pediatric Surgery·S K GreenholzJ R Lilly
Oct 1, 1985·Zeitschrift Für Kinderchirurgie : Organ Der Deutschen, Der Schweizerischen Und Der Osterreichischen Gesellschaft Für Kinderchirurgie = Surgery in Infancy and Childhood·H RodeS Cywes
Jun 1, 1981·Australian Paediatric Journal·D Cohen
Oct 1, 1993·European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [et Al] = Zeitschrift Für Kinderchirurgie·M T CorballyD P Drake
May 1, 1997·Journal of Pediatric Surgery·K M BullardM R Harrison
Aug 14, 2002·The Annals of Thoracic Surgery·Ulf Abdel-RahmanAnton Moritz
Dec 19, 2002·American Journal of Surgery·Thomas R WeberAndrew Fiore
May 12, 2004·Paediatric Respiratory Reviews·V M McNamara, D C G Crabbe

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Citations

Mar 9, 2013·Pediatric Cardiology·Sang-Yun LeeYang-Min Kim
Jun 19, 2013·International Journal of Pediatric Otorhinolaryngology·M TrozziS Bottero
Dec 4, 2009·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Lena PergerBradley C Linden
Jan 26, 2011·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Emmeline E CalkoenMartin J Elliott
Nov 1, 2012·Italian Journal of Pediatrics·Michele TorreMartin J Elliott
Dec 25, 2010·Journal of Indian Association of Pediatric Surgeons·Tiffany Lin, Ashwin Pimpalwar
Jun 30, 2009·Radiology·Edward Y Lee, Phillip M Boiselle
Jul 6, 2014·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Alexis P ArnaudPaolo De Coppi
Jul 20, 2014·Advances in Pediatrics·Hope T Jackson, Timothy D Kane
Aug 5, 2014·The Annals of Thoracic Surgery·Michael E MitchellJoseph E Kerschner
Sep 19, 2007·World Journal of Surgery·Ulf Abdel-RahmanHans-Gerd Fieguth
May 13, 2015·Paediatric Respiratory Reviews·Erik B Hysinger, Howard B Panitch
Jun 16, 2016·Seminars in Pediatric Surgery·Jose Carlos FragaPeter C W Kim
Jun 16, 2016·Seminars in Pediatric Surgery·Juan L Antón-Pacheco
Jan 21, 2014·Journal of Pediatric Surgery·Russell W JenningsJohn E Foker
Jun 19, 2012·Journal of Pediatric Surgery·Akiko YokoiEiji Nishijima
Oct 17, 2012·Paediatric Respiratory Reviews·Jonathan Karpelowsky
Aug 29, 2016·Seminars in Thoracic and Cardiovascular Surgery·William S Ragalie, Michael E Mitchell
Nov 7, 2009·Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie·M Fayon, L Donato
Jan 13, 2009·Pediatric Clinics of North America·Ian Brent Masters
Jul 10, 2007·Journal of Pediatric Surgery·Emily T DurkinAimen F Shaaban
Jan 23, 2014·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·E Kay-RivestP S Puligandla
Nov 20, 2015·Pediatric Pulmonology·Juan L Antón-PachecoAndrés Gómez
May 4, 2012·The Brazilian Journal of Infectious Diseases : an Official Publication of the Brazilian Society of Infectious Diseases·Aigui Jiang, Huiyu Lu
May 6, 2015·Indian Journal of Anaesthesia·Santoshi KuradaPeriyasamy Thangavelu
Sep 19, 2014·World Journal of Surgery·David C van der Zee, Marieke Straver
May 31, 2016·Paediatric Respiratory Reviews·Sigrid BairdainRussell W Jennings
Jul 7, 2016·Interactive Cardiovascular and Thoracic Surgery·Luigi ArcieriBruno Murzi
May 16, 2017·Pediatric Pulmonology·Kevin VézinaThe Thanh Diem Nguyen
Mar 8, 2018·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Friso M RijnbergRichard J Hewitt
May 19, 2010·Expert Review of Respiratory Medicine·Ian Brent Masters, Anne Bernadette Chang
Sep 17, 2019·Connective Tissue Research·Roberto Di GesùRiccardo Gottardi
Apr 22, 2011·Journal of Pediatric Gastroenterology and Nutrition·Pierre Fayoux, Rony Sfeir
Jan 23, 2018·Paediatrics and International Child Health·Benjamin Wybrand BarnardRichard Denys Pitcher
Sep 14, 2019·Annals of Pediatric Cardiology·Jason Hawes BarnesCharlotte S Van Dorn
Jan 5, 2018·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Pierre FayouxSam Daniel
Jun 13, 2017·Interactive Cardiovascular and Thoracic Surgery·Anna GruszkaJaime F Vazquez-Jimenez
Apr 10, 2021·Pediatric Pulmonology·Erik B Hysinger

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