[Sliding tracheoplasty: a good choice for the treatment of congenital tracheal stenosis].
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.
Graça
André
A
Serviço de Pediatria, Hospital de Santa Maria, Lisboa, Portugal.
Lucas
Mafalda
M
Pereira
Luísa
L
Barreto
Celeste
C
Lobo
Luísa
L
Gonçalves
Miroslava
M
Matute
José
J
Bandeira
Teresa
T
D006801:Humans; D007223:Infant; D008297:Male; D013517:Otorhinolaryngologic Surgical Procedures / Q000379:methods; D014135:Tracheal Stenosis / Q000151:congenital* / Q000601:surgery*