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J Thorac Cardiovasc Surg 2006;132:179-180
© 2006 The American Association for Thoracic Surgery

Brief Communication

Slide cricotracheoplasty in an infant

Emmanuel Le Bret, MD, PhD a , * , Eréa Noel Garabédian, MD b , Natacha Teissier, MD b , Emre Belli, MD a , Noureddine Gharbi, MD a , Jacqueline Bruniaux, MD a , Régine Roussin, MD a , Anne Sigal-Cinqualbre, MD c , Alain Serraf, MD, PhD a

a Service des Cardiopathies Congénitales, Centre chirurgical Marie Lannelongue, Le Plessis Robinson, France
b Département d'imagerie Médicale, Centre chirurgical Marie Lannelongue, Le Plessis Robinson, France
c Département d'ORL Pédiatrique, Hôpital d'enfants Armand Trousseau, Université Paris VI, Paris, France

Received for publication December 2, 2005; accepted for publication January 13, 2006.

* Address for reprints: Emmanuel Le Bret, MD, PhD, Service des Cardiopathies Congénitales, Centre Chirurgical Marie Lannelongue, 133 avenue de la Résistance, 92350 Le Plessis Robinson, France. (Email: e.lebret@ccml.fr).

The first 20% of the full text of this article appears below.

GoSlide tracheoplasty was first described in 1989 by Tsang and colleagues 1 Go and has now become the gold standard to treat long-segment tracheal stenosis. This technique presents several advantages: no graft material is required, it allows satisfactory enlargement of the trachea, and it does not hinder the functional growth of the trachea. 2,3 Go Recently, our team has reported the association of tracheal resection and slide tracheoplasty to manage an infant presenting with tracheal hypoplasia associated to a partial critical stenosis. 4 Go However, surgical management of a tracheal hypoplasia extending up to the cricoid is still quite challenging. 5 Go

We therefore describe a variant of the slide tracheoplasty that allowed us to treat this difficult case.

Clinical Summary

A 3-month-old infant weighting 4.8 kg was primarily referred for critical tracheal stenosis. The child was intubated, but satisfactory ventilation was difficult despite a high peak airway pressure. Endoscopy and computed tomographic scan . . . [Full Text of this Article]


Related Article

Slide tracheobronchoplasty in an infant
Emmanuel Le Bret, Eréa Noel Garabédian, Natacha Teissier, Emre Belli, Noureddine Gharbi, Jacqueline Bruniaux, Régine Roussin, Anne Sigal-Cinqualbre, and Alain Serraf
J. Thorac. Cardiovasc. Surg. 2006 132: 181-183. [Extract] [Full Text] [PDF]





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