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J Thorac Cardiovasc Surg 2006;132:181-183
© 2006 The American Association for Thoracic Surgery

Brief Communication

Slide tracheobronchoplasty 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'ORL pédiatrique, Hôpital d'enfants Armand Trousseau, Université Paris VI, Paris, France
c Département d'imagerie médicale, Scanner, Centre chirurgical Marie Lannelongue, Le Plessis Robinson, France

Received for publication December 16, 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.

GoInitially described by Tsang and colleagues in 1989, 1 Go slide tracheoplasty has become the technique of choice to treat long-segment tracheal stenosis. 2 Go The advantages of this technique are avoidance of graft materials, avoidance of tension on the sutures, satisfactory enlargement of the trachea, and avoidance of impairment of the anatomic and functional growth of the trachea. 3 Go The association of tracheal resection and slide tracheoplasty was recently reported by our team 4 Go as a possible treatment for an infant presenting with tracheal hypoplasia associated with partial critical stenosis. However, surgical management of a tracheal hypoplasia extending down to the bronchus is still challenging.

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

Case

Patient and Anatomic Lesion
A 3-month-old infant weighing 3.5 kg was primarily referred for tracheal hypoplasia. The child had been intubated for 1 month in his birth country. The infant was admitted to our department with tracheal septic contamination. Endoscopy and computed . . . [Full Text of this Article]


Related Article

Slide cricotracheoplasty 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: 179-180. [Extract] [Full Text] [PDF]



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