One stage surgical correction of congenital cardiac disease and congenital tracheal stenosis in infants and children.
OBJECTIVE
We describe our experience with patients undergoing one stage surgical correction of congenital cardiac disease and congenital tracheal stenosis.


METHODS
Between February 2001 and June 2007, eight patients underwent one stage repair of congenital cardiac disease and congenital tracheal stenosis. Their ages ranged from 30 days to 3 years (mean 16.25 +/- 11.67 months) and weights from 4.2 to 10.5 kg (mean 8.24 +/- 2.16 kg). The congenital cardiac disease was treated during cardiopulmonary bypass, and the tracheal stenosis was corrected simultaneously.


RESULTS
There was no operative mortality. One 4-month-old female who underwent polytetrafluroethylene patch tracheoplasty developed granulation tissue and died 3 months postoperatively of bronchial obstruction. The medium-term result of the remaining seven patients, after a mean follow-up of 50.4 months (range 9 to 76 months), was a stabile and complication-free clinical outcome.


CONCLUSIONS
We advocate one stage surgical correction of congenital cardiac disease and congenital tracheal stenosis for the treatment of these conditions.
Xu
Zhi Wei
ZW
Department of Cardiothoracic Surgery, Shanghai Children's Medical Center, School of Medicine, Shanghai Jiaotong University, No. 1678, Pudong New Area, Shanghai, China. zhiweixu1952@yahoo.cn
Li
Wei Hao
WH
D002315:Cardiopulmonary Bypass; D013504:Cardiovascular Surgical Procedures / Q000379:methods*; D002675:Child, Preschool; D005260:Female; D006330:Heart Defects, Congenital / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D011446:Prospective Studies; D014135:Tracheal Stenosis / Q000000981:diagnostic imaging / Q000601:surgery*; D014463:Ultrasonography