Surgical Treatment of Pulmonary Artery Sling and Tracheal Stenosis

Fiore, Andrew C.; Brown, John W.; Weber, Thomas; Turrentine, Mark W.

doi:10.1016/j.athoracsur.2004.06.005

Cited by 147 publications

(116 citation statements)

References 20 publications

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“…Recently, Fiore et al have demonstrated a 79% survival rate in patients undergoing correction via transection of the left pulmonary artery and reimplantation anterior to the trachea (5). Additionally, they suggested that tracheal repair is not always necessary in the presence of pulmonary artery sling; that agenesis of the right lung is not a contraindication to successful complete repair; and that simultaneous correction of intracardiac defects can be safely performed in selected patients (5). In contrast to symptomatic patients, the prognosis for asymptomatic patients is excellent, and surgical intervention is not indicated.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Pulmoner Arter Slingi: İki Farklı Klinik Durum

Alp¹,

Alpınar²,

Pekcan³

et al. 2014

jpr

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Section: Discussionmentioning

confidence: 99%

“…Symptomatic newborns and infants with these complex lesions have a high mortality rate without surgical interventions. On the other hand, the prognosis is excellent in asymptomatic patients and no surgical procedure is not required (5). In this report, symptomatic and asymptomatic two patients with pulmonary artery sling were presented.…”

Section: Introductionmentioning

confidence: 99%

Pulmoner Arter Slingi: İki Farklı Klinik Durum

Alp¹,

Alpınar²,

Pekcan³

et al. 2014

jpr

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“…With recent improvement of surgical treatment for tracheal stenosis, simultaneous correction of the tracheal stenosis and PAS can be performed with low operative mortality and excellent patency of the reimplanted LPA. [40][41][42][43][44] …”

Section: Associated Anomaliesmentioning

confidence: 98%

Surgical management of congenital tracheal stenosis

Terada

Hotoda

Toma

et al. 2009

Gen Thorac Cardiovasc Surg

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Congenital tracheal stenosis (CTS) is a rare but life-threatening disorder, particularly in neonates and infants. The stenotic lesions are commonly composed of complete rings of cartilage varying in length, location, and severity. A definitive diagnosis of CTS may be delayed because of the rarity of this disorder and thus its unfamiliarity among physicians, its variable onset time, its various clinical symptoms, and the diversity of associated clinical conditions due to the cardiovascular disorders that may accompany it. More than half of the patients who manifest clinical symptoms during early infancy show a long-segment stenosis. Long-segment CTS is problematic and challenging to manage. Over the last two decades several surgical techniques for long-segment CTS have been devised and developed, but no definitively advantageous surgical procedure has been established because of insufficient experience and the lack of large-scale studies. Although rib cartilage tracheoplasty and pericardial patch tracheoplasty have provided limited early to midterm success for infants with long-segment CTS, these procedures are associated with early and late complications, including granulation tissue formation, patch collapse, and restenosis necessitating reintervention. By contrast, slide tracheoplasty has given rise to better surgical outcomes. This procedure enables reconstruction of the stenotic trachea using native tracheal walls with preserved blood supply. The trachea is foreshortened by only one-half of the original stenosis, resulting in reduced tension on the anastomosis. Consequently, the technique has several advantages, including less formation of granulation tissue, satisfactory subsequent growth, and infrequent reoperation for restenosis. Slide tracheoplasty is currently recognized as the preferred technique for long-segment CTS.

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“…The main advantage of CT is the excellent visualisation of the topographical relationship between vasculature and airways or lung parenchyma. In patients with vascular rings and slings, for example, hypoplasia or dysplasia of the trachea or main bronchi (usually on the right) is frequently associated [6,12].…”

Section: Mdctmentioning

confidence: 99%

Preoperative assessment and follow-up of congenital abnormalities of the pulmonary arteries using CT and MRI

et al. 2006

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Congenital heart disease (CHD), including complex anomalies of the pulmonary arteries, are now earlier diagnosed and treated. Due to improvements in interventional and surgical therapy, the number of patients with the need for follow-up examinations is increasing. Pre- and postinterventional imaging should be done as gently as possible, avoiding invasive techniques if possible. With the technical improvement of multidetector-row computed tomography (MDCT) and magnetic resonance imaging (MRI), both techniques are increasingly used for noninvasive assessment of the pulmonary vasculature in children with CHD. Knowledge of the most common diseases affecting the pulmonary vasculature and the kind of surgical and interventional procedures is essential for optimal imaging planning. This is especially important because interventions can be positively influenced by high-quality imaging. Therefore, the most common diseases and procedures are described and imaging modality of choice and important image findings are discussed.

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Surgical Treatment of Pulmonary Artery Sling and Tracheal Stenosis

Cited by 147 publications

References 20 publications

Pulmoner Arter Slingi: İki Farklı Klinik Durum

Pulmoner Arter Slingi: İki Farklı Klinik Durum

Surgical management of congenital tracheal stenosis

Preoperative assessment and follow-up of congenital abnormalities of the pulmonary arteries using CT and MRI

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