[An alternative to aortopexy in the treatment of severe tracheomalacia].
The classic treatment of severe tracheomalacia is aortopexy. In the 1980s endoscopic insertion of the Palmaz stent, originally designed for use in the treatment of vascular stenosis, began to be used in the treatment of relapsing or residual tracheomalacia. We present a patient with severe tracheomalacia who had previously undergone surgery for esophageal atresia with distal tracheoesophageal fistula in which aortopexy was contraindicated due to a complex congenital heart disease. Treatment consisted of endoscopic insertion of a Palmaz stent. This stent provides an effective alternative to conventional surgery, although each case should be individually evaluated.
Sánchez Martín
R
R
Unidad de Cirugía Cardiotorácica. Servicio de Cirugía Pediátrica. Hospital Infantil Gregorio Marañón. Madrid.
Matute Cárdenas
J A
JA
Barrientos Fernández
G
G
Romero Ruiz
R
R
García-Casillas
M A
MA
Vázquez Estévez
J
J
D001013:Aorta, Thoracic; D006801:Humans; D007223:Infant; D008297:Male; D019736:Prostheses and Implants; D012720:Severity of Illness Index; D014132:Trachea / Q000002:abnormalities* / Q000601:surgery*; D014133:Tracheal Diseases / Q000601:surgery*