title: Polyflex stenting of tracheomalacia after surgery for congenital tracheal stenosis.
abstract: Polyflex self-expanding stents (Rüsch, Germany) were used in three young children who had presented with life-threatening long-segment tracheal stenosis with bronchial stenosis in two cases. Two children had slide tracheoplasties and subsequently aortic homografts and another tracheal resection and autotracheoplasty. However, in all cases persistent lower tracheal malacia necessitated stenting. Complications of granuloma, stent migration or dislodgement occurred in all cases. A fatal tracheo-aortic fistula occurred in one child. Granuloma in one was treated successfully with steroids. One child survives.
authors.affiliation: Department of Intensive Care, Royal Children's Hospital, Parkville, Melbourne, Victoria 3052, Australia. james.tibballs@rch.org.au
authors.forename: James
authors.initials: J
authors.lastname: Tibballs
authors.forename: Stephen
authors.initials: S
authors.lastname: Fasulakis
authors.forename: Colin F
authors.initials: CF
authors.lastname: Robertson
authors.forename: Robert G
authors.initials: RG
authors.lastname: Berkowitz
authors.forename: John
authors.initials: J
authors.lastname: Massie
authors.forename: Christian
authors.initials: C
authors.lastname: Brizard
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Rose
authors.forename: Elhamy
authors.initials: E
authors.lastname: Bekhit
authors.forename: Robert
authors.initials: R
authors.lastname: Eyres
authors.forename: Philip
authors.initials: P
authors.lastname: Ragg
mesh_terms: D001013:Aorta, Thoracic / Q000637:transplantation; D001982:Bronchial Diseases / Q000150:complications / Q000601:surgery; D002357:Cartilage Diseases / Q000209:etiology / Q000601:surgery*; D003251:Constriction, Pathologic / Q000150:complications / Q000601:surgery; D006801:Humans; D007223:Infant; D011183:Postoperative Complications / Q000601:surgery*; D011474:Prosthesis Design; D015607:Stents; D014132:Trachea / Q000002:abnormalities / Q000601:surgery; D014135:Tracheal Stenosis / Q000150:complications / Q000151:congenital / Q000601:surgery*; D014184:Transplantation, Homologous