Surgical Treatment of Long-Segment Tracheal Anomalies in Infants and Children

Abstract

Our experience demonstrates that resection of tracheal stenosis and end-to-end anastomosis can be achieved successfully even in cases with stenosis of more than 30 % of the total tracheal length. The use of CBP allowed extensive mobilization of the tracheobronchial tree and resection with end-to-end tension-free anastomotic reconstruction.

The evolution of the pulmonary arterial sling syndrome, with particular reference to the need for reoperations because of untreated tracheal stenosis

“…In our experience it is the use of cardiopulmonary bypass that makes it possible to mobilize, resect, and reconstructed longer tracheal segments, achieving successful endto-end anastomoses. 12 A slide plasty in cases with long-segment tracheal stenosis has been used by many surgeons. 13 In our opinion, this should be reserved for cases in which end-to-end anastomosis is not feasible, albeit that our experience is insufficient to make definitive conclusions about the role of end-to-end anastomosis versus slide tracheoplasty.…”

“…It also facilitates the extensive mobilisation of the entire tracheobronchial tree. In our experience it is the use of cardiopulmonary bypass that makes it possible to mobilize, resect, and reconstructed longer tracheal segments, achieving successful end-to-end anastomoses 12 . A slide plasty in cases with long-segment tracheal stenosis has been used by many surgeons 13 .…”

Multidetector computed tomography and 3-dimensional imaging: preoperative evaluation of thoracic vascular and tracheobronchial anomalies and abnormalities in pediatric patients

“…Congenital tracheal stenosis is a rare condition resulting from complete tracheal rings associated with absent or deficient tracheal membranes [1,5,[44][45][46][47] (Fig. 8).…”