دورية أكاديمية
A modified surgical technique for aortopexy in tracheobronchomalacia.
| العنوان: | A modified surgical technique for aortopexy in tracheobronchomalacia. |
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| المؤلفون: | Dolmaci OB; Department of Cardiothoracic Surgery, Amsterdam University Medical Center location AMC, Amsterdam, Netherlands.; Department of Cardiothoracic Surgery, Leiden University Medical Center, Leiden, Netherlands., Fockens MM; Department of Otorhinolaryngology, Amsterdam University Medical Center location AMC, Amsterdam, Netherlands., Oomen MW; Department of Pediatric Surgery, Amsterdam University Medical Center location AMC, Amsterdam, Netherlands., van Woensel JB; Department of Pediatric Intensive Care, Amsterdam University Medical Center location AMC, Amsterdam, Netherlands., Hoekstra CEL; Department of Otorhinolaryngology, Amsterdam University Medical Center location AMC, Amsterdam, Netherlands., Koolbergen DR; Department of Cardiothoracic Surgery, Amsterdam University Medical Center location AMC, Amsterdam, Netherlands.; Department of Cardiothoracic Surgery, Leiden University Medical Center, Leiden, Netherlands. |
| المصدر: | Interactive cardiovascular and thoracic surgery [Interact Cardiovasc Thorac Surg] 2021 Aug 18; Vol. 33 (3), pp. 462-468. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Oxford University Press Country of Publication: England NLM ID: 101158399 Publication Model: Print Cited Medium: Internet ISSN: 1569-9285 (Electronic) Linking ISSN: 15699285 NLM ISO Abbreviation: Interact Cardiovasc Thorac Surg Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2012-2022 : Oxford, England : Oxford University Press Original Publication: Amsterdam, The Netherlands ; New York : Elsevier Science, c2002- |
| مواضيع طبية MeSH: | Tracheobronchomalacia*/diagnostic imaging , Tracheobronchomalacia*/surgery , Tracheomalacia*, Bronchi ; Child ; Child, Preschool ; Female ; Humans ; Infant ; Male ; Retrospective Studies ; Trachea |
| مستخلص: | Objectives: Tracheobronchomalacia (TBM) is characterized by collapse of trachea, bronchi or both, leading to dyspnoea, expiratory stridor, coughing or recurrent airway infections. Surgical treatment with aortopexy is warranted for severe TBM. We describe a modified aortopexy technique with aortic wall strap sutures that evenly distributes the traction force over the full width of the aortic arch. The aim of this study was to determine the outcomes of this modified anterior aortopexy technique. Methods: Retrospective chart review of all patients undergoing aortopexy with aortic wall strap sutures for TBM between January 2010 and June 2020 in 2 tertiary hospitals in the Netherlands. Results: Twenty-four patients [median age 9 months (interquartile range 2-117 months); 71% male] underwent aortopexy with the modified technique for TBM (52%), tracheomalacia (40%) or bonchomalacia (8%). Aortopexy was successful in 91.7%, defined as relief or decrease of respiratory symptoms and no need for respiratory support. Complications occurred in 8.3% and mortality was 4%. Conclusions: Aortopexy with non-absorbable strap sutures seems an effective and safe treatment for severe TBM. This study supports the hypothesis that strap sutures provide a solid and reliable traction force, but future comparative studies should confirm the benefit of strap sutures over conventional techniques. (© The Author(s) 2021. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.) |
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| فهرسة مساهمة: | Keywords: Aortopexy; Tracheobronchomalacia; Tracheomalacia |
| تواريخ الأحداث: | Date Created: 20210508 Date Completed: 20211124 Latest Revision: 20220509 |
| رمز التحديث: | 20221213 |
| مُعرف محوري في PubMed: | PMC8759525 |
| DOI: | 10.1093/icvts/ivab100 |
| PMID: | 33963391 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1569-9285 |
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| DOI: | 10.1093/icvts/ivab100 |