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Congenital tracheal diseases: diagnosis and management
Journal of Cardiothoracic Surgery volume 10, Article number: A84 (2015)
Congenital tracheal diseases are less common than congenital cardiac.
They contain two lesions: anomaly and stenosis. They may associate with other congenital lesions especially pulmonary artery sling. Tracheal stenosis is the main factor causing airway obstruction. Depend on the degree of tracheal stenosis, clinical manifestation ranges from having some episodes of stridor to severe respiratory failure and death. Reconstruction surgery is the method of choice for severe cases.
Retrospective review congenital tracheal disease cases that underwent reconstruction surgery for over two years (from Aug. 2013 to Feb. 2015). Tracheal stenosis parts were managed using slide tracheoplasty technique. As for other congenital lesions, only pulmonary sling was reconstructed, together with tracheoplasty.
16 patients (male 7; female 9) were operated. Ages range from 3 - 12 months (average: 7.9). Other congenital lesions include: sling: 12/16; ring: 1/16; VSD: 2/16; no anus: 2/16. Result is excellent in 14 cases: good in one. Mortality: 1.
Reconstruction surgery is feasible for congenital tracheal diseases. Result is excellent. Slide tracheoplasty should be applied in all cases to manage tracheal stenosis parts. Segments resection is not recommended for any part of the trachea.
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Vinh, V.H. Congenital tracheal diseases: diagnosis and management. J Cardiothorac Surg 10, A84 (2015) doi:10.1186/1749-8090-10-S1-A84
- Public Health
- Pulmonary Artery
- Clinical Manifestation
- Respiratory Failure
- Retrospective Review