Congenital right bronchial stenosis with high bifurcation: Successful management with side to side tracheobronchial anastomosis. (August 2018)

• Record Type: Journal Article
• Authors: Georgopoulos, Rachel; Hill, Courtney; Heinle, Jeffrey S.; Mehta, Deepak
• Is Part Of: International journal of pediatric otorhinolaryngology. Volume 111(2018:Aug.)
• Page Start: 180
• Page End: 182
• Publication Date: 2018-08
• Subjects: Congenital -- Bronchial -- Stenosis -- Bifurcation -- Double trachea -- 3D model; Otolaryngology -- Periodicals; Pediatrics -- Periodicals; Otolaryngology -- Periodicals; Pediatrics -- Periodicals; Oto-rhino-laryngologie -- Périodiques; Pédiatrie -- Périodiques; 618.9209751
• DOI: 10.1016/j.ijporl.2018.06.011
• Languages: English
• ISSNs: 0165-5876

Abstract

Abstract: Congenital bronchial stenosis is a rare entity [1, 2]. While there are some reports of congenital bronchial anomalies and their repair in the thoracic literature this is first report in the literature of a bronchial take off just below the larynx managed with surgical success. Here we present a case of a former 33-weeker born with a tracheoesophageal fistula, Tetralogy of Fallot, and a high bifurcation of the right mainstem bronchus with a concomitant long segment bronchial stenosis. Preoperative planning included printing 3-D reconstructed models of the airway to analyze various treatment options. At 3 months of age the patient was taken to the operating room for surgical repair of the Tetralogy of Fallot and side-to-side tracheobroncheoplasty. The patient was extubated on postoperative day 3 and was discharged home without need for any ventilatory support.