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Titolo:
Pexis of the great vessels for patients with tracheobronchomalacia in infancy
Autore:
Kamata, S; Usui, N; Sawai, T; Nose, K; Kitayama, Y; Okuyama, H; Okada, A;
Indirizzi:
Osaka Univ, Sch Med, Dept Pediat Surg, Suita, Osaka 5650871, Japan Osaka Univ Suita Osaka Japan 5650871 at Surg, Suita, Osaka 5650871, Japan
Titolo Testata:
JOURNAL OF PEDIATRIC SURGERY
fascicolo: 3, volume: 35, anno: 2000,
pagine: 454 - 457
SICI:
0022-3468(200003)35:3<454:POTGVF>2.0.ZU;2-D
Fonte:
ISI
Lingua:
ENG
Soggetto:
SEVERE BRONCHOMALACIA; TRACHEOMALACIA; AORTOPEXY; STENTS;
Keywords:
congenital tracheomalacia; congenital tracheobronchomalacia; congenital bronchomalacia; aortopexy; funnel chest;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
13
Recensione:
Indirizzi per estratti:
Indirizzo: Kamata, S Osaka Univ, Sch Med, Dept Pediat Surg, 2-2 Yamadaoka, Suita, Osaka 5650871, Japan Osaka Univ 2-2 Yamadaoka Suita Osaka Japan 5650871 650871, Japan
Citazione:
S. Kamata et al., "Pexis of the great vessels for patients with tracheobronchomalacia in infancy", J PED SURG, 35(3), 2000, pp. 454-457

Abstract

Background/Purpose: Aortopexy has been established as a surgical treatmentfor tracheobronchomalacia in infancy. However, the effects in patients with bronchial involvement remain controversial. The authors performed aortopexy and pexis of the pulmonary artery trunk (PApexy) for patients with tracheobronchomalacia. Methods: Between 1992 and 1997, 14 infants with tracheo-bronchomalacia were treated. Patients ranged in age from 4 months to 7 years (median, 3.5 years). Using patients' records, intraoperative bronchofiberscopic results andclinical outcomes were analyzed retrospectively. Results: Concerning tracheomalacia, aortopexy eliminated airway collapse as shown by intraoperative fiberscopic results and clinical outcome in 4 patients. Regarding tracheobronchomalacia, aortopexy eliminated collapse of the trachea and the right main bronchus in 3 patients but did not improve collapse of the lower half of the left main bronchus in 3 patients, which was eliminated by PApexy. Aortopexy eliminated airway collapse of the left mainbronchus in 1 of 3 patients with bronchomalacia. PApexy eliminated collapse of the lower half of the left main bronchus in 1 patient. Conclusions: These results indicate that intraoperative bronchofiberscopicresults were closely correlated to the clinical outcome, and suggest that aortopexy is helpful for eliminating collapse of the right main bronchus and the proximal half of the left main bronchus and that PApexy eliminates collapse of the distal half of the left main bronchus. Copyright (C) 2000 by W.B. Saunders Company.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 21/09/20 alle ore 15:55:17