[Long-term follow-up of the quality of life in children after surgery for vascular compression of the respiratory tract].
The aim of this study is the analysis of long-term results of surgery for vascular airway compression. Out of those operated within last 14 years at our institution, thirty two have a longer than five years follow up, being now 9.1 +/- 3.0 years following surgery. All are in excellent clinical condition. One quarter of patients show occasional stridor and one third frequent respiratory infections. Eighty percent have some lung function abnormality, 72% features of central airways obstruction. Pulmonary perfusion scintigraphy demonstrated in 19% asymmetric pulmonary blood flow. Magnetic resonance imaging showed relationship between vessels and airways. Although long-term outcome of surgery for vascular airway compression is excellent, high percentage of pathologic lung functions is of concern and substantiates the need for close long-term follow-up.
Hruda
J
J
Dĕtské kardiocentrum, Fakultní nemocnice v Motole, Praha.
Horváth
P
P
Sulc
J
J
Tůma
S
S
Ruth
C
C
Lízler
J
J
D001011:Aorta / Q000002:abnormalities*; D016122:Brachiocephalic Trunk / Q000002:abnormalities*; D002648:Child; D002675:Child, Preschool; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D012129:Respiratory Function Tests; D014135:Tracheal Stenosis / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*
Kvalita zivota dĕtí dlouhodobĕ po operaci pro útlak dýchacích cest cévní strukturou.