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Published on: October 11, 2024
Successful slide tracheoplasty and partial atrioventricular septal defect repair following extracorporeal membrane
Eoin M Kelleher1, Lars Nolke2, Colin J McMahon1
11Department of Paediatric Cardiology,Our Lady's Children's Hospital,Crumlin,Dublin 12,Ireland.
Abstract:
A two-year-old boy with a background history of Down syndrome and partial atrioventricular septal defect presented with acute respiratory distress requiring intubation and mechanical ventilation. He continued to deteriorate, despite ventilation; direct laryngoscopy, bronchoscopy, and computed tomography demonstrated severe long segment tracheal stenosis. He was placed on extracorporeal membrane oxygenation to stabilise his condition. A slide tracheoplasty and complete repair of the partial atrioventricular septal defect was successfully undertaken. His post-operative recovery was complicated by myocardial infarction and stroke but he made a full recovery. This represents the first report of slide tracheoplasty and partial atrioventricular septal defect repair in a child following extracorporeal membrane oxygenation support.
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