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Aortopexy for persistent tracheal obstruction after double aortic arch repair
Jose Carlos Fraga1, Emmeline E Calkoen, Hany O S Gabra
1The Tracheal Service, The Great Ormond Street Hospital for Children, WC1N 3JH London, United Kingdom. jc.fraga@terra.com.br
Journal of Pediatric Surgery
|July 4, 2009
Summary
Anterior aortopexy effectively treats severe breathing problems in children after double aortic arch repair. This surgical approach offers a safe and simple solution for persistent tracheomalacia and tracheal compression.
Area of Science:
- Pediatric surgery
- Cardiovascular surgery
- Respiratory medicine
Background:
- Persistent respiratory symptoms are common after double aortic arch (DAA) repair.
- Severe tracheomalacia and tracheal compression can complicate post-DAA repair recovery.
- Rarely, these complications necessitate reoperation.
Observation:
- Four pediatric patients experienced severe respiratory issues post-DAA repair, including extubation failure and respiratory distress.
- These symptoms were attributed to significant tracheomalacia and tracheal compression.
- All patients underwent anterior aortopexy for treatment.
Findings:
- Anterior aortopexy demonstrated effectiveness and safety in alleviating respiratory symptoms.
- The procedure improved both tracheomalacia and tracheal compression.
- Symptomatic improvement was observed in all treated children.
Implications:
- Anterior aortopexy presents a viable and straightforward treatment option for severe post-DAA repair airway issues.
- This technique may reduce the need for more complex surgical interventions.
- Further research can explore long-term outcomes and broader applicability of anterior aortopexy in similar pediatric cases.
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