Aortopexy for tracheomalacia with dextrocardia, pulmonary artery sling, and congenital tracheal stenosis

Ann Thorac Surg. 2009 Oct;88(4):1345-8. doi: 10.1016/j.athoracsur.2009.02.095.

Abstract

We report a rare case of coexisting pulmonary artery sling, congenital tracheal stenosis, and dextrocardia caused by right lung hypoplasia. Successful treatment of severe postoperative tracheomalacia was achieved by aortopexy, aiming displacement of the aortic arch across orthogonally in front of the trachea due to dextrocardia. The aim of this surgery was different from the usual aortopexy for tracheomalacia, which lifts the tracheal wall with the aorta. The three-dimensional evaluation considering the patient's associated malformations led to a successful result.

Publication types

  • Case Reports

MeSH terms

  • Abnormalities, Multiple
  • Aorta, Thoracic / surgery*
  • Bronchoscopy
  • Dextrocardia / diagnosis
  • Dextrocardia / surgery*
  • Diagnosis, Differential
  • Humans
  • Infant, Newborn
  • Male
  • Pulmonary Artery / abnormalities*
  • Radiography, Thoracic
  • Tomography, X-Ray Computed
  • Tracheal Stenosis / congenital
  • Tracheal Stenosis / diagnosis
  • Tracheal Stenosis / surgery*
  • Tracheomalacia / diagnosis
  • Tracheomalacia / surgery*
  • Vascular Malformations / diagnosis
  • Vascular Malformations / surgery*
  • Vascular Surgical Procedures / methods*