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J Thorac Cardiovasc Surg 2006;132:e15-e16
© 2006 The American Association for Thoracic Surgery

Brief Communication

Slide tracheoplasty in the presence of tracheal bronchus in an infant

Emmanuel Le Bret, MD, PhD a , * , Natacha Teissier, MD b , Emre Belli, MD a , Anne Sigal-Cinqualbre, MD c , Vincent Couloignier, MD, PhD b , Philippe Narcy, MD b , Serge Demontoux, MD a , Nourredine Gharbi, MD a , Régine Roussin a , Thierry Van Den Abbeele, MD, PhD b , Alain Serraf, MD, PhD a

a Pediatric Cardio-Thoracic Department, Centre Chirurgical Marie Lannelongue, Le Plessis Robinson, France
c Scanner Department, Centre Chirurgical Marie Lannelongue, Le Plessis Robinson, France
b Pediatric ENT Department, Robert Debré Hospital, Paris, France

Received for publication February 21, 2006; revisions received March 14, 2006; accepted for publication March 21, 2006.

* Address for reprints: Emmanuel Le Bret, MD, PhD, Service des Cardiopathies Congenitales, 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.

Slide tracheoplasty is known to be the gold standard in the management of long-segment tracheal stenosis. 1 Go However, in certain situations this operation might become difficult or even impossible for some authors. The frequency of pig bronchus reported in the literature is 0.2%. 2 Go The association of congenital tracheal stenosis and pig bronchus is exceptional. The presence of a tracheal bronchus was considered a relative contraindication to slide tracheoplasty. 3 Go We report the case of a child with hypoplasia of the lower half of the trachea associated with a pig bronchus treated with a slide tracheoplasty.

Clinical Summary

A 4-month-old child weighing 3.8 kg was referred to our department for a tracheal hypoplasia. She had been intubated for 1 month because of respiratory distress. At admission, the trachea was colonized, and biologic signs of infection were found.

Preoperative assessment
The fibroscopy showed a tracheal stenosis with complete tracheal rings starting at the junction between . . . [Full Text of this Article]






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