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Thoracoscopic aortopexy to treat severe tracheomalacia in children. Cases report

Carlos García-Hernández1,2, Lourdes Carvajal-Figueroa1,2, Cristian Archivaldo-García1,2

  • 1Departamento de Cirugía Pediátrica, Hospital Infantil Privado. Ciudad de México, México.

Cirugia Y Cirujanos
|October 22, 2019
PubMed

Insights

Thoracoscopic aortopexy offers a safe and effective solution for severe tracheomalacia in infants. This minimally invasive approach improves tracheal space and reduces life-threatening events in young children.

Area of Science:

  • Pediatric Surgery
  • Thoracic Surgery
  • Respiratory Medicine

Background:

  • Severe tracheomalacia presents a significant challenge in pediatric care, often leading to life-threatening respiratory distress.
  • Conventional treatments may be invasive or less effective for complex cases.

Observation:

  • Three infants (3, 9, 12 months) with severe tracheomalacia and dependence on mechanical ventilation were treated.
  • Diagnostic workup included bronchoscopy and thoracic angiotomography to confirm diagnosis and rule out extrinsic compression.

Findings:

  • A left thoracoscopic aortopexy was successfully performed with intraoperative bronchoscopic monitoring.
  • Significant improvement in tracheal diameter and airway patency was observed post-surgery.
  • Patients experienced a reduction in respiratory events and ventilator dependence, with sustained improvement during follow-up.

Implications:

  • Thoracoscopic aortopexy is a viable and effective minimally invasive surgical option for severe pediatric tracheomalacia.
  • This technique can improve respiratory outcomes and quality of life for affected children.
  • Further research can explore long-term efficacy and broader application in pediatric airway management.
Abstract

Keywords:
AortopexiaAortopexyThoracoscopyToracoscopiaTracheomalaciaTraqueomalacia

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