title: Congenital right intermediate bronchial stenosis with carina trifurcation: successful management with slide tracheobronchial plasty.
abstract: Congenital bronchial stenosis is rarely described and is difficult to manage. Here we report two cases of right intermediate bronchial stenosis (stenotic orifice with complete cartilage rings). Both cases were associated with ventricular septal defects, and a "trifurcation" pattern was found in both carinas. Both patients underwent surgical repair of the ventricular septal defects but could not be separated from ventilator support despite successful cardiac operations. Slide tracheobronchial plasty was applied to the right intermediate bronchus and lower trachea. After correction of the bronchial stenosis, both patients could be extubated and live without supplementary ventilation support.
authors.affiliation: Department of Pediatrics, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan.
authors.forename: En-Ting
authors.initials: ET
authors.lastname: Wu
authors.affiliation: Department of Pediatrics, E-Da Hospital and I-Shou University, Kaohsiung, Taiwan.
authors.forename: Ming-Chun
authors.initials: MC
authors.lastname: Yang
authors.affiliation: Department of Pediatrics, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan.
authors.forename: Ching-Chia
authors.initials: CC
authors.lastname: Wang
authors.affiliation: Department of Pediatrics, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan.
authors.forename: Ming-Tai
authors.initials: MT
authors.lastname: Lin
authors.affiliation: Department of Medical Imaging, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan.
authors.forename: Shyh-Jye
authors.initials: SJ
authors.lastname: Chen
authors.affiliation: Department of Anesthesiology, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan.
authors.forename: Chi-Hsiang
authors.initials: CH
authors.lastname: Huang
authors.affiliation: Department of Pediatrics, Mackay Memorial Hospital, Taipei, Taiwan.
authors.forename: Haw-Kwei
authors.initials: HK
authors.lastname: Hwang
authors.affiliation: Department of Pediatrics, Mackay Memorial Hospital, Taipei, Taiwan.
authors.forename: Ming-Ren
authors.initials: MR
authors.lastname: Chen
authors.affiliation: Department of Surgery, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan. Electronic address: cvshuang@gmail.com.
authors.forename: Shu-Chien
authors.initials: SC
authors.lastname: Huang
mesh_terms: D000015:Abnormalities, Multiple; D001980:Bronchi / Q000002:abnormalities* / Q000601:surgery; D001982:Bronchial Diseases / Q000151:congenital / Q000601:surgery*; D001999:Bronchoscopy; D003251:Constriction, Pathologic / Q000151:congenital; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D019651:Plastic Surgery Procedures / Q000379:methods*; D014057:Tomography, X-Ray Computed; D014132:Trachea / Q000002:abnormalities* / Q000601:surgery; D014135:Tracheal Stenosis / Q000151:congenital / Q000601:surgery*