J Korean Med Sci.  2007 Jun;22(3):491-496. 10.3346/jkms.2007.22.3.491.

Repair of Long-segment Congenital Tracheal Stenosis

• Yang JH
• Jun TG
• Sung K
• Choi JH
• Lee YT
• Park PW

• KMID: 1778359
• DOI: http://doi.org/10.3346/jkms.2007.22.3.491

Abstract

Long-segment tracheal stenosis in infants and small children is difficult to manage and can be life-threatening. A retrospective review of 12 patients who underwent surgery for congenital tracheal stenosis between 1996 and 2004 was conducted. The patients' median age was 3.6 months. All patients had diffuse tracheal stenosis involving 40-61% (median, 50%) of the length of the trachea, which was suspected to be associated with complete tracheal ring. Five patients had proximal bronchial stenosis also. Ten patients had associated cardiac anomalies. Three different techniques were performed; pericardial patch tracheoplasty (n=4), tracheal autograft tracheoplasty (n=6), and slide tracheoplasty (n=2). After pericardial tracheoplasty, there were 2 early and 2 late deaths. All patients survived after autograft and slide tracheoplasty except one who died of pneumonia one year after the autograft tracheoplasty. The duration of ventilator support was 6-40 days after autograft and 6-7 days after slide tracheoplasty. The duration of hospital stay was 13-266 days after autograft and 19-21 days after slide tracheoplasty. Repeated bronchoscopic examinations were required after pericardial and autograft tracheoplasty. These data demonstrate that pericardial patch tracheoplasty show poor results, whereas autograft or slide tracheoplasty gives excellent short- and long-term results.

Keyword

Tracheal Stenosis/congenital; Trachea/surgery; Infant; Treatment Outcome; Pulmonary artery/surgery

MeSH Terms

Body Weight
Female
Follow-Up Studies
Humans
Infant
Infant, Newborn
Length of Stay
Male
Pulmonary Artery/pathology
Respiratory System Abnormalities/surgery
Thoracic Surgical Procedures
Trachea/anatomy & histology
Tracheal Stenosis/*congenital/*surgery
Treatment Outcome

Figure

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  Fig. 1 Tracheoplasty using divided two pieces of tracheal autograft in a patient with combined stenosis of bronchial origin.

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