Polyflex stenting of tracheomalacia after surgery for congenital tracheal stenosis.

Abstract

Polyflex self-expanding stents (Rüsch, Germany) were used in three young children who had presented with life-threatening long-segment tracheal stenosis with bronchial stenosis in two cases. Two children had slide tracheoplasties and subsequently aortic homografts and another tracheal resection and autotracheoplasty. However, in all cases persistent lower tracheal malacia necessitated stenting. Complications of granuloma, stent migration or dislodgement occurred in all cases. A fatal tracheo-aortic fistula occurred in one child. Granuloma in one was treated successfully with steroids. One child survives.

• Authors: James Tibballs, Stephen Fasulakis, Colin F Robertson, Robert G Berkowitz, John Massie, Christian Brizard, Elizabeth Rose, Elhamy Bekhit, Robert Eyres, Philip Ragg
• Journal: International journal of pediatric otorhinolaryngology (Int J Pediatr Otorhinolaryngol) Vol. 71 Issue 1 Pg. 159-63 (Jan 2007) ISSN: 0165-5876 [Print] Ireland
• PMID: 17081626 (Publication Type: Case Reports, Journal Article)

Topics

• Aorta, Thoracic (transplantation)
• Bronchial Diseases (complications, surgery)
• Cartilage Diseases (etiology, surgery)
• Constriction, Pathologic (complications, surgery)
• Humans
• Infant
• Postoperative Complications (surgery)
• Prosthesis Design
• Stents
• Trachea (abnormalities, surgery)
• Tracheal Stenosis (complications, congenital, surgery)
• Transplantation, Homologous