Aortopexy in severe tracheal instability: short-term and long-term outcome in 29 infants and children.
Ann Thorac Surg
; 72(6): 1898-901, 2001 Dec.
Article
em En
| MEDLINE
| ID: mdl-11789767
ABSTRACT
BACKGROUND:
Tracheal instability is a hazardous situation after operation for esophageal atresia. In cases with life-threatening apneas, aortopexy is a therapeutic option. To assess efficacy, short-term and long-term outcome was analyzed retrospectively.METHODS:
Between 1985 and 2000, 29 patients (age, 1.5 months to 5.2 years) were operated on. A flaccid trachea after operation for esophageal atresia was the cause for life-threatening apneas in 27, and there was external vascular compression in 2 patients. The operative procedure consisted of ventropexy of the aortic arch to the sternum and ventral thoracic wall.RESULTS:
There was neither early nor late mortality. A reversible lesion of the phrenic nerve was observed in 2 patients, a pneumothorax in 3, and secondary wound healing in 1. In all but 1 patient symptoms improved markedly or disappeared within days or within the first 3 months postoperatively. An increased susceptibility to respiratory infections was observed in long-term follow-up.CONCLUSIONS:
Aortopexy can be performed with no mortality and low morbidity. Aortopexy is effective to prevent further life-threatening apneas, but does not prevent an increased susceptibility to respiratory infections.
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Base de dados:
MEDLINE
Assunto principal:
Aorta Torácica
/
Apneia
/
Complicações Pós-Operatórias
/
Doenças da Traqueia
/
Atresia Esofágica
Tipo de estudo:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
Limite:
Child, preschool
/
Female
/
Humans
/
Infant
/
Male
/
Newborn
Idioma:
En
Ano de publicação:
2001
Tipo de documento:
Article