title: Aortopexy for tracheomalacia with dextrocardia, pulmonary artery sling, and congenital tracheal stenosis.
abstract: We report a rare case of coexisting pulmonary artery sling, congenital tracheal stenosis, and dextrocardia caused by right lung hypoplasia. Successful treatment of severe postoperative tracheomalacia was achieved by aortopexy, aiming displacement of the aortic arch across orthogonally in front of the trachea due to dextrocardia. The aim of this surgery was different from the usual aortopexy for tracheomalacia, which lifts the tracheal wall with the aorta. The three-dimensional evaluation considering the patient's associated malformations led to a successful result.
authors.affiliation: Department of Surgery, Tokyo Metropolitan Kiyose Children's Hospital, Tokyo, Japan. kwangjong@xrh.biglobe.ne.jp
authors.forename: Kwang-Jong
authors.initials: KJ
authors.lastname: Lee
authors.forename: Shoichiro
authors.initials: S
authors.lastname: Kamagata
authors.forename: Seiichi
authors.initials: S
authors.lastname: Hirobe
authors.forename: Miki
authors.initials: M
authors.lastname: Toma
authors.forename: Takuo
authors.initials: T
authors.lastname: Furukawa
authors.forename: Naoki
authors.initials: N
authors.lastname: Fukushima
authors.forename: Yukihiro
authors.initials: Y
authors.lastname: Inomata
mesh_terms: D000015:Abnormalities, Multiple; D001013:Aorta, Thoracic / Q000601:surgery*; D001999:Bronchoscopy; D003914:Dextrocardia / Q000175:diagnosis / Q000601:surgery*; D003937:Diagnosis, Differential; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D011651:Pulmonary Artery / Q000002:abnormalities*; D013902:Radiography, Thoracic; D014057:Tomography, X-Ray Computed; D014135:Tracheal Stenosis / Q000151:congenital / Q000175:diagnosis / Q000601:surgery*; D055090:Tracheomalacia / Q000175:diagnosis / Q000601:surgery*; D054079:Vascular Malformations / Q000175:diagnosis / Q000601:surgery*; D014656:Vascular Surgical Procedures / Q000379:methods*