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A technique for thoracoscopic aortopericardiosternopexy.
K Schaarschmidt1, A Kolberg-Schwerdt, K Bunke
1Department of Surgery, Center for Pediatric Surgery, Helios-Klinikum Buch, Karower Strasse 11, D-13122 Berlin, Germany. kschaarschmidt@klinikumbuch.de
Surgical Endoscopy
|June 20, 2002
Summary
Thoracoscopic aortopericardiosternopexy offers a minimally invasive approach for severe tracheomalacia. This effective technique is suitable for initial and redo procedures, improving patient outcomes.
Area of Science:
- Thoracic surgery
- Pediatric surgery
- Cardiovascular surgery
Background:
- Severe tracheomalacia often necessitates aortosternopexy, typically performed via left thoracotomy.
- A novel thoracoscopic approach to aortopericardiosternopexy is presented.
Purpose of the Study:
- To describe and evaluate a modified thoracoscopic technique for aortopericardiosternopexy in severe tracheomalacia.
Main Methods:
- A minimally invasive technique involving mobilization of the thymus and fixation of the ascending aorta, innominate artery, and pericardial base to the sternum.
- Bronchoscopic monitoring is used to assess the procedure's effectiveness.
Main Results:
- The modified thoracoscopic technique demonstrated dramatic success in two pediatric patients.
- The procedure was effective even as a redo operation in a 2-year-old child with recurrent tracheomalacia.
Conclusions:
- Thoracoscopic aortopericardiosternopexy is an effective and safe procedure for managing severe tracheomalacia.
- This approach does not negatively impact postoperative respiration and is a viable option for complex or repeat surgeries.