Abstract | PURPOSE: METHODS: Retrospective chart review was conducted. From October 2003 to March 2011, 24 had tracheal reconstruction without aortopexy (group A) and 8 with aortopexy (group B). Statistical analysis was performed using Fisher's Exact test. RESULTS: One had anastomotic leakage in group A, and 1, in group B (P = .44). Eleven patients required tracheostomy because of postoperative tracheomalacia confirmed by postoperative bronchoscopy in group A vs none in group B (P = .029). CONCLUSIONS: We found that aortopexy with tracheal reconstruction reduced the need for postoperative tracheostomy in this patient group. Although there is a potential risk of anastomotic leakage because of the suspension suture on the anterior tracheal wall to aorta, we did not detect an increased incidence after aortopexy. Thus, aortic suspension may be a useful adjunct to prevent symptoms of tracheomalacia in these patients.
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Authors | Akiko Yokoi, Hiroshi Arai, Yuko Bitoh, Makoto Nakao, Yoshihiro Oshima, Eiji Nishijima |
Journal | Journal of pediatric surgery
(J Pediatr Surg)
Vol. 47
Issue 6
Pg. 1080-3
(Jun 2012)
ISSN: 1531-5037 [Electronic] United States |
PMID | 22703773
(Publication Type: Evaluation Study, Journal Article)
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Copyright | Copyright © 2012 Elsevier Inc. All rights reserved. |
Topics |
- Anastomotic Leak
- Aorta
(surgery)
- Humans
- Infant, Newborn
- Postoperative Complications
(etiology, prevention & control, surgery)
- Retrospective Studies
- Sternum
(surgery)
- Suture Techniques
- Trachea
(pathology, surgery)
- Tracheal Stenosis
(congenital, surgery)
- Tracheomalacia
(etiology, prevention & control, surgery)
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