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.

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