Aortopexy for persistent tracheal obstruction after double aortic arch repair

Jose Carlos Fraga; Emmeline E Calkoen; Hany O S Gabra; Clare A McLaren; Derek J Roebuck; Martin J Elliott

doi:10.1016/j.jpedsurg.2009.03.035

Aortopexy for persistent tracheal obstruction after double aortic arch repair

J Pediatr Surg. 2009 Jul;44(7):1454-7. doi: 10.1016/j.jpedsurg.2009.03.035.

Authors

Jose Carlos Fraga¹, Emmeline E Calkoen, Hany O S Gabra, Clare A McLaren, Derek J Roebuck, Martin J Elliott

Affiliation

¹ The Tracheal Service, The Great Ormond Street Hospital for Children, WC1N 3JH London, United Kingdom. jc.fraga@terra.com.br

PMID: 19573679
DOI: 10.1016/j.jpedsurg.2009.03.035

Abstract

Persistent respiratory symptoms often occur after double aortic arch (DAA) repair but rarely require a second operation. We report 4 children with severe respiratory problems (failure to extubate, 2; severe respiratory distress, 2) caused by severe tracheomalacia and tracheal compression after DAA repair, treated by anterior aortopexy. Aortopexy proved effective and safe in improving symptoms and provides a simple treatment option for children with severe malacia or tracheal compression after DAA repair.

Publication types

Case Reports

MeSH terms

Aorta, Thoracic / abnormalities*
Aorta, Thoracic / diagnostic imaging
Aorta, Thoracic / surgery
Bronchoscopy
Female
Follow-Up Studies
Humans
Infant
Infant, Newborn
Male
Postoperative Complications
Reoperation / methods
Tomography, X-Ray Computed
Tracheal Stenosis / diagnosis
Tracheal Stenosis / etiology*
Tracheal Stenosis / surgery
Vascular Malformations / diagnosis
Vascular Malformations / surgery*
Vascular Surgical Procedures / adverse effects*
Vascular Surgical Procedures / methods