HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Hong Kwan Kim Young Tae Kim Chang Hyun Kang Joo Hyun Kim Yong Jin Kim Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Kim, H. K. Articles by Kim, Y. J. Search for Related Content PubMed PubMed Citation Articles by Kim, H. K. Articles by Kim, Y. J. Related Collections Trachea and bronchi

Eur J Cardiothorac Surg 2004;25:1065-1071
© 2004 Elsevier Science NL

Management of congenital tracheal stenosis

^a Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Cancer Research Institute, Xenotransplantation Research Center, Clinical Research Institute, Seoul National University College of Medicine, 28 Yongun-Dong, Chongro-Ku, Seoul 110-744, South Korea
^b Department of Pediatrics, Seoul National University Hospital, Clinical Research Institute, Seoul National University College of Medicine, Seoul, South Korea

Received 9 October 2003; received in revised form 11 January 2004; accepted 14 January 2004.

^* Corresponding author. Tel : +82-2-760-3161; fax: +82-2-765-7117
e-mail: ytkim{at}plaza.snu.ac.kr

Objectives: Congenital tracheal stenosis is a rare disease. Various methods for treatment exist but there is still much debate as to the appropriate surgical procedure. We present our surgical experiences of patch tracheoplasty and slide tracheoplasty as viable methods for the treatment of congenital tracheal stenosis. Methods: From 1994 to 2002, 13 patients were diagnosed with congenital tracheal stenosis. Eight patients (7 symptomatic and 1 asymptomatic) had their stenosis corrected, three by means of pericardial patch tracheoplasty, four by slide tracheoplasty, and one by resection and anastomosis. Concomitant operations were performed on six patients to treat congenital cardiovascular disease. Five patients showing no significant symptoms did not undergo tracheal surgery and received only cardiac procedures. A retrospective review of the hospital course, complications, and long-term results was conducted. Results: Among the patch tracheoplasty group, every patient suffered from granulation tissue formation. One patient died of respiratory acidosis and one was hospitalized due to recurrent granulation tissue, which required frequent bronchoscopy. The third patient from this group is free of all symptoms. Among the slide tracheoplasty group, one patient died of anastomosis disruption. The three remaining patients are alive and well. The one patient who received resection and anastomosis is alive without symptoms. Conclusions: Surgical repair of long-segment congenital tracheal stenosis exhibited high mortality and morbidity rates. Every patient that underwent pericardial patch tracheoplasty suffered from troublesome granulation tissue. As slide tracheoplasty provided relatively good results in the short and mid-term follow-up periods, it seems to be a preferred method for the treatment of long-segment congenital tracheal stenosis.

Key Words: Trachea • Congenital anomaly • Stenosis

This article has been cited by other articles:

				L. M. Phipps, J. A. Raymond, and T. M. Angeletti Congenital Tracheal Stenosis. Crit. Care Nurse, June 1, 2006; 26(3): 60 - 69. [Full Text] [PDF]

				J.-P. Pfammatter, C. Casaulta, M. Pavlovic, P. A. Berdat, U. Frey, and T. Carrel Important Excess Morbidity Due to Upper Airway Anomalies in the Perioperative Course in Infant Cardiac Surgery. Ann. Thorac. Surg., March 1, 2006; 81(3): 1008 - 1012. [Abstract] [Full Text] [PDF]