title: [Surgical management of congenital tracheal stenosis].
abstract: A six month old infant with dextrocardia, butterfly vertebrae and oesophageal atresia type I is reported. After surgical repair, she developed respiratory distress, needing ventilatory support. The bronchoscopy and bronchography demonstrated segmental tracheal stenosis. A resection of the stenotic segment was performed, and tracheal reconstruction with terminoterminal anastomosis. After a period of clinical improvement, respiratory distress came back and reestenosis was ascertained locating its level on the anastomosis. Three sessions of balloon dilation were ineffective and because that it's decided the introduction of a metallic self-expandable stent. After a transient relief, the patient had a bilateral pneumonia ending with the dead of the patient. In spite of the treatment used, it was not possible to accomplish solution in a middle or a large place. This constitutes a clear exponent of the complexity in the management of the congenital tracheal stenosis.
authors.affiliation: Servicio de Cirugía Pediátrica, Hospital Clínico y Provincial de Barcelona, Universitat de Barcelona.
authors.forename: X
authors.initials: X
authors.lastname: García
authors.forename: V
authors.initials: V
authors.lastname: Julia
authors.forename: L
authors.initials: L
authors.lastname: Morales
authors.forename: F
authors.initials: F
authors.lastname: Díaz
authors.forename: J
authors.initials: J
authors.lastname: Rovira
authors.forename: F J
authors.initials: FJ
authors.lastname: Parri
mesh_terms: D000714:Anastomosis, Surgical; D001999:Bronchoscopy; D002404:Catheterization; D017809:Fatal Outcome; D006801:Humans; D007223:Infant; D011014:Pneumonia / Q000209:etiology; D011183:Postoperative Complications; D014135:Tracheal Stenosis / Q000151:congenital / Q000175:diagnosis / Q000601:surgery*
vernacular_title: Manejo quirúrgico de la estenosis traqueal congénita.