title: Aortopexy for persistent tracheal obstruction after double aortic arch repair.
abstract: Persistent respiratory symptoms often occur after double aortic arch (DAA) repair but rarely require a second operation. We report 4 children with severe respiratory problems (failure to extubate, 2; severe respiratory distress, 2) caused by severe tracheomalacia and tracheal compression after DAA repair, treated by anterior aortopexy. Aortopexy proved effective and safe in improving symptoms and provides a simple treatment option for children with severe malacia or tracheal compression after DAA repair.
authors: The Tracheal Service, The Great Ormond Street Hospital for Children, WC1N 3JH London, United Kingdom. jc.fraga@terra.com.br
authors: Jose Carlos
authors: JC
authors: Fraga
authors: Emmeline E
authors: EE
authors: Calkoen
authors: Hany O S
authors: HO
authors: Gabra
authors: Clare A
authors: CA
authors: McLaren
authors: Derek J
authors: DJ
authors: Roebuck
authors: Martin J
authors: MJ
authors: Elliott
mesh_terms: D001013:Aorta, Thoracic / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D001999:Bronchoscopy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D011183:Postoperative Complications; D012086:Reoperation / Q000379:methods; D014057:Tomography, X-Ray Computed; D014135:Tracheal Stenosis / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D054079:Vascular Malformations / Q000175:diagnosis / Q000601:surgery*; D014656:Vascular Surgical Procedures / Q000009:adverse effects* / Q000379:methods