Direct tracheobronchopexy via left lateral thoracotomy for severe tracheobronchomalacia. (December 2017)

• Record Type: Journal Article
• Authors: Propst, Evan J.; Zawawi, Faisal; Kirsch, Roxanne E.; Honjo, Osami
• Is Part Of: International journal of pediatric otorhinolaryngology. Volume 103(2017:Dec.)
• Page Start: 32
• Page End: 35
• Publication Date: 2017-12
• Subjects: Tracheomalacia -- Tracheobronchomalacia -- Aortopexy -- Laryngotracheoplasty -- Direct tracheopexy -- Direct tracheobronchopexy; Otolaryngology -- Periodicals; Pediatrics -- Periodicals; Otolaryngology -- Periodicals; Pediatrics -- Periodicals; Oto-rhino-laryngologie -- Périodiques; Pédiatrie -- Périodiques; 618.9209751
• DOI: 10.1016/j.ijporl.2017.10.010
• Languages: English
• ISSNs: 0165-5876

Abstract

Abstract: An infant with pulmonary atresia/ventricular septal defect/major aortopulmonary collateral arteries underwent unifocalization, ventriculoseptal defect closure and placement of a right ventricle to pulmonary artery conduit via median sternotomy. Aortopexy and pulmonary arteriopexy via redo sternotomy were insufficient to allow weaning of continuous positive airway pressure and he required direct tracheobronchopexy via left lateral thoracotomy to alleviate posterior trachealis intrusion along the length of the trachea and left main bronchus. He also underwent laryngotracheoplasty with placement of a posterior costal cartilage graft for bilateral vocal cord paralysis. The patient was weaned from positive pressure and discharged in stable condition.