INTERMEDIATE TO LATE RESULTS OF SURGICAL RELIEF OF VASCULAR TRACHEOBRONCHIAL COMPRESSION

被引：32

作者：

HORVATH, P

HUCIN, B

HRUDA, J

SULC, J

BREZOVSKY, P

TUMA, S

LIESLER, J

SKOVRANEK, J

机构：

[1] Department of Kardiocentrum, Prague

[2] Department of Otolaryngology, University Hospital Motol, Prague

[3] Czechoslovakia Department of Radiology, Institute of Clinical and Experimental Medicine, Prague

来源：

EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY | 1992年 / 6卷 / 07期

关键词：

VASCULAR RING; PULMONARY ARTERY SLING; DOUBLE AORTIC ARCH; TRACHEAL COMPRESSION; PEDIATRIC;

D O I：

10.1016/1010-7940(92)90174-V

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Since 1979, a total of 69 infants and children aged 0.1 to 11.9 (median 0.7) years required surgical intervention for: double aortic arch (26), anomalous origin of innominate artery (26), right aortic arch with left ligamentum arteriosum (9), pulmonary artery sling (5), retroesophageal right subclavian artery (3). Before operation, the morbidity was high: 84% of children were symptomatic in the first trimester of life with 24 patients requiring mechanical ventilation. Seven children had an accompanying heart defect. Left thoracotomy was the preferred approach. There were 2 early (asphyxic brain damage, postoperative pneumonia) and 2 late (tracheomalacia, complex heart defect) deaths. Five patients (2 originally operated elsewhere) needed reoperation for persistent symptoms. All 65 survivors are well 1 month to 11.9 (mean 3.9 +/- 3.62) years after surgery. Tracheobronchoscopy, magnetic resonance imaging, and lung function testing were helpful for postoperative evaluation. Minor tracheal compression was revealed in 4 patients despite their good clinical condition.

引用

页码：366 / 371

页数：6

共 13 条

[1]

Van Aalderen W.M.C., Hoekstra M.O., Hess J., Gerritsen J., Knol K., Respiratory infections and vascular rings, Acta Pedi-atr Scand, 79, pp. 477-480, (1990)

[2]

Ardito J.M., Tucker G.F., Ossoff R.H., DeLeon S.Y., Innominate artery compression of the trachea in infants with reflex apnea, Ann Otol Rinol Laryngol, 89, pp. 401-405, (1980)

[3]

Backer C.L., Ilbawi M.N., Idriss F.S., DeLeon S.Y., Vascular anomalies causing tracheoesophageal compression. Review of experience in children, J Thorac Cardiovasc Surg, 97, pp. 725-731, (1989)

[4]

Bertolini A., Pelizza A., Panizzon G., Moretti R., Bava G.L., Calza G., Tacchino A., Vascular rings and slings. Diagnosis and surgical treatment of 49 patients, J Cardiovasc Surg, 28, pp. 301-312, (1987)

[5]

Conti V.R., Lobe T.E., Vascular sling with tracheomalacia: Surgical management, Ann Thorac Surg, 47, pp. 310-311, (1989)

[6]

Corno A., Giamberti A., Glannico S., Marino B., Rossi E., Mar-celleti C., Kirklin J.K., Airway obstructions associated with congenital heart disease in infancy, J Thorac Cardiovasc Surg, 99, pp. 1091-1098, (1990)

[7]

Hartyanzky I.L., Lozsadi K., Marcsek P., Huttl T., Sapi E., Kovacs A.B., Congenital vascular rings: Surgical management of 111 cases, Eur J Cardio-thorac Surg, 3, pp. 250-254, (1989)

[8]

Loeff D.S., Filler R.M., Vinograd I., Ein S.H., Williams W.G., Smith C.R., Bahoric A., Congenital tracheal stenosis: A review of 22 patients from 1965 to 1987, J Pediatr Surg, 23, pp. 744-748, (1988)

[9]

Myer C.M., Auringer S.T., Wiatrak B.J., Bisset G., Magnetic resonance imaging in the diagnosis of innominate artery compression of the trachea, Arch Otolaryngol Head Neck Surg, 116, pp. 314-316, (1990)

[10]

Rivilla F., Utrilla J.G., Alvarez F., Surgical management and follow-up of vascular rings, Z Kinderchir, 44, pp. 199-202, (1989)

← 1 2 →