title: [Sliding tracheoplasty: a good choice for the treatment of congenital tracheal stenosis].
abstract: When infants with recurrent wheezing have a clinical course inconsistent with a common diagnosis, anatomic malformations should be considered in diagnostic workup, followed by medical stabilization and early therapy. A careful history and physical examination could reveal important diagnostic clues that indicate the need to perform a fiberoptic bronchoscopy, which in the reported case showed tracheal stenosis in the transition between the first and second third of the trachea. Chest CT scan revealed a long funnel-shaped tracheal stenosis and along with an echocardiogram, excluded associated cardiovascular malformations. Surgical correction by sliding tracheoplasty under extra-corporeal circulation was successfully performed at the Hospital Gregório Marañon in Madrid. The surgical complications that have occurred (mediastinitis and pulmonary embolism) were resolved. After a two-year follow-up, that included endoscopic control, the patient was found to be free of symptoms of wheezing or post-surgical complications. The authors emphasize the need for early diagnosis and surgical treatment to be performed in an experienced reference center.
authors.affiliation: Serviço de Pediatria, Hospital de Santa Maria, Lisboa, Portugal.
authors.forename: André
authors.initials: A
authors.lastname: Graça
authors.forename: Mafalda
authors.initials: M
authors.lastname: Lucas
authors.forename: Luísa
authors.initials: L
authors.lastname: Pereira
authors.forename: Celeste
authors.initials: C
authors.lastname: Barreto
authors.forename: Luísa
authors.initials: L
authors.lastname: Lobo
authors.forename: Miroslava
authors.initials: M
authors.lastname: Gonçalves
authors.forename: José
authors.initials: J
authors.lastname: Matute
authors.forename: Teresa
authors.initials: T
authors.lastname: Bandeira
mesh_terms: D006801:Humans; D007223:Infant; D008297:Male; D013517:Otorhinolaryngologic Surgical Procedures / Q000379:methods; D014135:Tracheal Stenosis / Q000151:congenital* / Q000601:surgery*