Role of aortopexy in the management of primary tracheomalacia and tracheobronchomalacia.
Between 1986 and 1988 aortopexy was carried out on 12 patients with primary tracheomalacia and five with tracheobronchomalacia; their median age was 5 months (1 month-7 years). All patients had stridor, 14 had had cyanotic and apnoeic episodes, and 10 had had 'death' attacks. Eight patients (47%) had associated gastro-oesophageal reflux. Six patients (35%) were helped by aortopexy alone, and a further five (29%) improved with a combination of aortopexy and antireflux treatment. Four patients required tracheostomy, one of whom died. Aortopexy failed if gastro-oesophageal reflux was present. We recommend aggressive treatment of reflux combined with aortopexy in patients with primary tracheomalacia and tracheobronchomalacia.
Malone
P S
PS
Hospital for Sick Children, London.
Kiely
E M
EM
D001011:Aorta / Q000601:surgery*; D001982:Bronchial Diseases / Q000601:surgery*; D002357:Cartilage Diseases / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008722:Methods; D014133:Tracheal Diseases / Q000601:surgery*