TY - JOUR
T1 - Anterior pericardial tracheoplasty for congenital tracheal stenosis
T2 - Intermediate to long-term outcomes
AU - Bando, Ko
AU - Turrentine, Mark W.
AU - Sun, Kyung
AU - Sharp, Thomas G.
AU - Matt, Bruce
AU - Karmazyn, Boaz
AU - Heifetz, Stephen A.
AU - Stevens, John
AU - Kesler, Kenneth A.
AU - Brown, John W.
PY - 1996/10
Y1 - 1996/10
N2 - Background. Although several techniques for the treatment of long-segment stenosis of the trachea have been reported, including slide tracheoplasty, rib grafting, and use of a pericardial patch, the optimal repair remains controversial because of a lack of midterm to long-term follow-up data. Methods. To assess the intermediate and long-term outcomes of patients having repair with anterior pericardial tracheoplasty, we reviewed case histories of 12 patients (1984 to present). The median age was 6.7 months (range, 1 to 98 months), and the median weight was 6.0 kg (range, 0.97 to 42 kg). All patients underwent anterior pericardial tracheoplasty through a median sternotomy during partial normothermic cardiopulmonary bypass. An average of 13 tracheal rings (range, five to 23) were divided anteriorly, and a patch of fresh autologous pericardium was used to enlarge the trachea by 1.5 times the predicted diameter for patient age and weight. Results. There was one hospital death, and all but 2 patients are long-term survivors. All but 1 current survivor remain asymptomatic, with no bronchoscopic evidence of airway obstruction or granulation on the pericardial patch. All survivors examined have normal tracheal growth and development, with a median follow-up of 5.5 years (range, 1 to 11 years). Conclusions. Anterior pericardial tracheoplasty for congenital tracheal stenosis provides excellent results at intermediate to long-term follow-up.
AB - Background. Although several techniques for the treatment of long-segment stenosis of the trachea have been reported, including slide tracheoplasty, rib grafting, and use of a pericardial patch, the optimal repair remains controversial because of a lack of midterm to long-term follow-up data. Methods. To assess the intermediate and long-term outcomes of patients having repair with anterior pericardial tracheoplasty, we reviewed case histories of 12 patients (1984 to present). The median age was 6.7 months (range, 1 to 98 months), and the median weight was 6.0 kg (range, 0.97 to 42 kg). All patients underwent anterior pericardial tracheoplasty through a median sternotomy during partial normothermic cardiopulmonary bypass. An average of 13 tracheal rings (range, five to 23) were divided anteriorly, and a patch of fresh autologous pericardium was used to enlarge the trachea by 1.5 times the predicted diameter for patient age and weight. Results. There was one hospital death, and all but 2 patients are long-term survivors. All but 1 current survivor remain asymptomatic, with no bronchoscopic evidence of airway obstruction or granulation on the pericardial patch. All survivors examined have normal tracheal growth and development, with a median follow-up of 5.5 years (range, 1 to 11 years). Conclusions. Anterior pericardial tracheoplasty for congenital tracheal stenosis provides excellent results at intermediate to long-term follow-up.
UR - http://www.scopus.com/inward/record.url?scp=0030272040&partnerID=8YFLogxK
U2 - 10.1016/0003-4975(96)00478-X
DO - 10.1016/0003-4975(96)00478-X
M3 - Article
C2 - 8823076
AN - SCOPUS:0030272040
SN - 0003-4975
VL - 62
SP - 981
EP - 989
JO - Annals of Thoracic Surgery
JF - Annals of Thoracic Surgery
IS - 4
ER -