Advances in Surgical Treatment of Congenital Airway Disease. Semin Thorac Cardiovasc Surg 2016;28(1):62-8
Date
08/29/2016Pubmed ID
27568138DOI
10.1053/j.semtcvs.2015.12.010Scopus ID
2-s2.0-84961827967 (requires institutional sign-in at Scopus site) 12 CitationsAbstract
Tracheobronchomalacia (TBM) is frequently present in infants and children with congenital heart disease (CHD). Infants with CHD and TBM appear to do worse than those without TBM. The principle of operative intervention for TBM is to improve function of the airway and clinical status. When indicated, conventional surgical options include tracheostomy, aortopexy, tracheoplasty, and anterior tracheal suspension. There is no consensus on the optimal treatment of severe tracheobonchomalacia, which can be associated with a mortality rate as high as 80%. Congenital tracheal stenosis is also frequently associated with CHD (vascular rings, atrioventricular canal defects, and septal defects) and may require concomitant repair. Repair of tracheal stenosis is often associated with distal TBM. This article addresses new techniques that can be performed in corrective surgery for both TBM and congenital tracheal stenosis.
Author List
Ragalie WS, Mitchell MEAuthor
Michael Edward Mitchell MD Chief, Professor in the Surgery department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
BronchiConstriction, Pathologic
Diffusion of Innovation
History, 20th Century
History, 21st Century
Humans
Recovery of Function
Severity of Illness Index
Thoracic Surgical Procedures
Trachea
Tracheobronchomalacia
Treatment Outcome
