[Aortopexy in the surgical treatment of tracheomalacia in children].
Aortopexy was performed in 55 patients for respiratory ways obstruction of various origin. There were estimated immediate and late follow-up results of aortopexy application, solely or in conjunction with tracheoplasty in 11 patients, ageing from 1 mo to 5 years, performed for tracheomalacia, which included idiopathic, associated with esophageal atresia and tracheoesophageal fistula forms. Local tracheomalacia was revealed in 8 patients, diffuse--in 3. In 6 observations aortopexy was conducted only, in 5 - aortopexy in conjunction with tracheoplasty using pericardial or fasciopleural flaps. In presence of esophageal disease concominantly its segmental resection of cicatricially changed portion was performed, as well as the recurrent tracheoesophageal fistula division and suturing. Generally, positive result in immediate and late follow-up period was noted in all the patients. In 3 patients there was revealed incomplete stabilization of trachea with the membranous portion of the wall expulsion up to 1/2 of lumen and persistence of nonsignificant respiratory symptoms, caused by presence of gastro-esophageal reflux. The results obtained witness, that aortopexy constitutes an effective method of surgical treatment of respiratory ways obstruction, caused by tracheomalacia. The presence of diffuse tracheomalacia needs additional tracheoplasty to the aortopexy performance.
Kryvchenia
D Iu
DIu
Rudenko
Ie O
IeO
Sliepov
O K
OK
Chumakova
L F
LF
D000293:Adolescent; D001011:Aorta / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D004933:Esophageal Atresia / Q000150:complications; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D019616:Thoracic Surgical Procedures / Q000379:methods*; D014133:Tracheal Diseases / Q000209:etiology / Q000601:surgery*; D014138:Tracheoesophageal Fistula / Q000209:etiology / Q000601:surgery*; D016896:Treatment Outcome