Successful slide tracheoplasty and partial atrioventricular septal defect repair following extracorporeal membrane oxygenation support.
A two-year-old boy with a background history of Down syndrome and partial atrioventricular septal defect presented with acute respiratory distress requiring intubation and mechanical ventilation. He continued to deteriorate, despite ventilation; direct laryngoscopy, bronchoscopy, and computed tomography demonstrated severe long segment tracheal stenosis. He was placed on extracorporeal membrane oxygenation to stabilise his condition. A slide tracheoplasty and complete repair of the partial atrioventricular septal defect was successfully undertaken. His post-operative recovery was complicated by myocardial infarction and stroke but he made a full recovery. This represents the first report of slide tracheoplasty and partial atrioventricular septal defect repair in a child following extracorporeal membrane oxygenation support.
1Department of Paediatric Cardiology,Our Lady's Children's Hospital,Crumlin,Dublin 12,Ireland.
Eoin M
EM
Kelleher
2Department of Congenital Heart Surgery,Our Lady's Children's Hospital,Crumlin,Dublin 12,Ireland.
Lars
L
Nolke
1Department of Paediatric Cardiology,Our Lady's Children's Hospital,Crumlin,Dublin 12,Ireland.
Colin J
CJ
McMahon
D000714:Anastomosis, Surgical / Q000379:methods*; D006348:Cardiac Surgical Procedures / Q000379:methods*; D002675:Child, Preschool; D004314:Down Syndrome / Q000150:complications / Q000473:pathology; D015199:Extracorporeal Membrane Oxygenation / Q000379:methods*; D006343:Heart Septal Defects / Q000150:complications / Q000601:surgery*; D006801:Humans; D008297:Male; D019651:Plastic Surgery Procedures / Q000379:methods*; D014132:Trachea / Q000601:surgery*; D014135:Tracheal Stenosis / Q000209:etiology / Q000628:therapy*; D016896:Treatment Outcome
slide repair