AORTOPEXY FOR TRACHEOMALACIA IN ESOPHAGEAL ANOMALIES

被引:43
作者
CORBALLY, MT [1 ]
SPITZ, L [1 ]
KIELY, E [1 ]
BRERETON, RJ [1 ]
DRAKE, DP [1 ]
机构
[1] HOSP SICK CHILDREN,LONDON WC1N 3JH,ENGLAND
关键词
TRACHEOMALACIA; AORTOPEXY; ESOPHAGEAL ANOMALIES;
D O I
10.1055/s-2008-1063556
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Forty-eight patients with repaired congenital oesophageal anomaly underwent aortopexy for significant tracheomalacia between 1980 and 1990. Indications for aortopexy included recurrent apnoea/cyanosis in 31, near fatal episodes in 16, recurrent respiratory distress and infection in 20 and worsening stridor in 15. Gastro-oesophageal reflux was noted in 30 patients, recurrent fistula in 6 and oesphageal stricture in 14. Aortopexy cured near fatal episodes in all patients and resulted in improvement of airway obstruction in 95 %. The procedure failed in 2 patients due to unrecognised bronchomalacia and phrenic nerve palsy respectively. Aortopexy is the primary procedure of choice for significant tracheomalacia when associated with near fatal episodes and significant airway obstruction.
引用
收藏
页码:264 / 266
页数:3
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