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Titolo:
Pectus excavatum repair using a costal cartilage graft for patients with tracheobronchomalacia
Autore:
Kamata, S; Usui, N; Sawai, T; Tazuke, Y; Nose, K; Kawahara, H; Okada, A;
Indirizzi:
Osaka Univ, Sch Med, Dept Pediat Surg, Osaka 5650871, Japan Osaka Univ Osaka Japan 5650871 d, Dept Pediat Surg, Osaka 5650871, Japan
Titolo Testata:
JOURNAL OF PEDIATRIC SURGERY
fascicolo: 11, volume: 36, anno: 2001,
pagine: 1650 - 1652
SICI:
0022-3468(200111)36:11<1650:PERUAC>2.0.ZU;2-U
Fonte:
ISI
Lingua:
ENG
Soggetto:
BRONCHOMALACIA;
Keywords:
pectus excavatum; congenital tracheobronchomalacia; congenital bronchomalacia; aortopexy;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
10
Recensione:
Indirizzi per estratti:
Indirizzo: Kamata, S Osaka Univ, Sch Med, Dept Pediat Surg, 2-2 Yamadaoka, Osaka 5650871, Japan Osaka Univ 2-2 Yamadaoka Osaka Japan 5650871 aka 5650871, Japan
Citazione:
S. Kamata et al., "Pectus excavatum repair using a costal cartilage graft for patients with tracheobronchomalacia", J PED SURG, 36(11), 2001, pp. 1650-1652

Abstract

Background. Pectus excavatum is sometimes associated with tracheobronchomalacia, which usually manifests left mediastinal shift, atelectasis of the left lung, and recurrent pulmonary infection. Standard repair of pectus excavatum alone usually failed to improve symptoms. Methods: Pexis of the great vessels and pericardium combined with the support of the lower sternum, using a contralateral costal cartilage graft following the standard Ravitch's repair of pectus excavatum, has been used in 6children during the past 5 years. In addition to respiratory symptoms, diagnosis of tracheobronchomalacia was made by bronchoscopy using an ultrathinfiberscope. Results: Using the described operative technique, an excellent cosmetic and functional result was obtained in 5 of 6 children. However, atelectasis of the left lower lobe and the narrowing of the left mainstem bronchus continued postoperatively in one patient, which required the insertion of the Palmaz stent in the left mainstem bronchus. Conclusion: This technique may help improve tracheobronchomalacia in patients with pectus excavatum and should be tried before the insertion of an internal stent. J Pediatr Surg 36:1650-1652. Copyright (C) 2001 by W.B. Saunders Company.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 30/09/20 alle ore 09:07:23