One Stage Surgical Correction of Congenital Cardiac Disease and Congenital Tracheal Stenosis in Infants and Children

2009 ◽  
Vol 24 (5) ◽  
pp. 558-560 ◽  
Author(s):  
Zhi wei Xu ◽  
Wei hao Li
Keyword(s):  
Tracheal Stenosis ◽  
Cardiac Disease ◽  
Surgical Correction ◽  
Infants And Children ◽  
Congenital Tracheal Stenosis ◽  
One Stage ◽  
Congenital Cardiac Disease ◽  
In Infants And Children

scholarly journals Computational Evaluation of Surgical Design for Multisegmental Complex Congenital Tracheal Stenosis

2020 ◽  
Vol 2020 ◽  
pp. 1-10
Author(s):  
Limin Zhu ◽  
Xiaolei Gong ◽  
Jinlong Liu ◽  
Youjin Li ◽  
Yumin Zhong ◽  
...  
Keyword(s):  
Tracheal Stenosis ◽  
Computer Aided Design ◽  
Surgical Correction ◽  
Patient Specific ◽  
Congenital Tracheal Stenosis ◽  
Computational Evaluation ◽  
Life Threatening ◽  
Computational Fluid Dynamics Cfd ◽  
Aerodynamic Parameters ◽  
Aided Design

Multisegmental complex congenital tracheal stenosis (CTS) is an uncommon but potentially life-threatening malformation of the airway. Staged surgery is indicated for the complex pathophysiology of the abnormal trachea. Surgical intervention to fix the stenotic segments may result in different postoperative outcomes. However, only few studies reported the design of surgical correction for multisegmental CTS. We used computer-aided design (CAD) to simulate surgical correction under different schemes to develop a patient-specific tracheal model with two segmental stenoses. Computational fluid dynamics (CFD) was used to compare the outcomes of different designs. Aerodynamic parameters of the trachea were evaluated. An obvious interaction was found between the two segments of stenosis in different surgical designs. The surgical corrective order of stenotic segments greatly affected the aerodynamic parameters and turbulence flows downstream of tracheal stenosis and upstream of the bronchus. Patient-specific studies using CAD and CFD minimize the risk of staged surgical correction and facilitate quantitative evaluation of surgical design for multiple segments of complex CTS.

scholarly journals Cardiopulmonary Resuscitation in Infants and Children With Cardiac Disease

Circulation ◽  
2018 ◽  
Vol 137 (22) ◽  
Author(s):  
Bradley S. Marino ◽  
Sarah Tabbutt ◽  
Graeme MacLaren ◽  
Mary Fran Hazinski ◽  
Ian Adatia ◽  
...  
Keyword(s):  
Cardiopulmonary Resuscitation ◽  
Cardiac Disease ◽  
Infants And Children ◽  
In Infants And Children

scholarly journals Acquired tracheal stenosis in infants and children

1991 ◽  
Vol 102 (1) ◽  
pp. 29-35 ◽  
Author(s):  
Thomas R. Weber ◽  
Robert H. Connors ◽  
Thomas F. Tracy
Keyword(s):  
Tracheal Stenosis ◽  
Infants And Children ◽  
In Infants And Children

One-stage tracheal reconstruction of congenital tracheal stenosis

1996 ◽  
Vol 34 (3) ◽  
pp. 245-252 ◽  
Author(s):  
Patrick Froehlich ◽  
Donald B. Kearns ◽  
Allan B. Seid ◽  
Seth M. Pransky ◽  
Jean-Paul Chappuis ◽  
...  
Keyword(s):  
Tracheal Stenosis ◽  
Congenital Tracheal Stenosis ◽  
Tracheal Reconstruction ◽  
One Stage

Surgical Correction of Subglottic Stenosis of the Larynx in Infants and Children; Progress Report

1974 ◽  
Vol 83 (4) ◽  
pp. 428-431 ◽  
Author(s):  
Blair Fearon ◽  
Robin Cotton
Keyword(s):  
Experimental Study ◽  
Mortality Rate ◽  
Scar Tissue ◽  
Progress Report ◽  
Subglottic Stenosis ◽  
Surgical Correction ◽  
Infants And Children ◽  
Operative Correction ◽  
Initial Results ◽  
In Infants And Children

A survey of 25 consecutive cases of severe subglottic stenosis in children and infants, managed conservatively, revealed an unexpectedly high 24% mortality rate. A three year ongoing experimental study in infant primates indicated the feasibility of operative correction of subglottic stenosis without interference with usual laryngeal growth potentials. Initial results in the surgical correction of subglottic stenosis in two patients are very encouraging. For surgical correction of subglottic stenosis we recommend division of the cricoid and upper trachea anteriorly with interposition of autogenous cartilage, without removal of scar tissue, and without internal laryngeal stenting.

scholarly journals Anaesthesia for Tracheoplasty: Case Report and Review of Anaesthesia Techniques

1998 ◽  
Vol 26 (3) ◽  
pp. 308-311 ◽  
Author(s):  
S. S.-W. Tan ◽  
G. M. Tan
Keyword(s):  
Case Report ◽  
Cardiopulmonary Bypass ◽  
Tracheal Stenosis ◽  
Surgical Correction ◽  
Congenital Tracheal Stenosis ◽  
Diagnostic Investigations

Congenital tracheal stenosis is an uncommon cause of stridor and can be associated with other anomalies. It may present anytime during childhood depending on the severity of the lesion. The anaesthetist may be involved in all stages of management of this problem; from diagnostic investigations to surgical correction. Various methods of tracheoplasty have been described, some requiring cardiopulmonary bypass support and others may be carried out with conventional ventilatory techniques.

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