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Esophageal tracheoplasty for congenital tracheal stenosis.

Abstract：

:Two infants with congenital long tracheal stenosis underwent operation by means of an esophageal tracheoplasty. The first patient had previously undergone tracheal reconstruction using the pericardium. Although ventilation improved somewhat following this procedure, the pericardial patch suddenly ruptured 12 days after the operation, requiring an immediate esophageal tracheoplasty. The esophageal portion of the reconstructed trachea epithelialized 1 month later, with the lumen maintaining its proper size. However, the patient died 3 months after the second tracheoplasty. The cause of death was thought to be due to complications arising from prolonged high-pressure use of mechanical ventilation. He had been on a respirator for 6 months before the first tracheoplasty. The second patient has been doing well with no recurring respiratory problems for 25 months now. Her reconstructed trachea has adapted with her growth. This technique should be considered along with other forms of treatment for tracheal reconstruction because it is relatively simple and pliable.

journal_name

J Pediatr Surg

journal_title

Journal of pediatric surgery

authors

Sasaki S,Hara F,Ohwa T,Eguchi T,Masaoka A

doi

10.1016/0022-3468(92)90468-m

subject

Has Abstract

pub_date

1992-05-01 00:00:00

pages

645-9

issue

5

eissn

0022-3468

issn

1531-5037

pii

0022-3468(92)90468-M

journal_volume

27

pub_type

杂志文章

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