Related Experiment Video

Updated: Aug 29, 2025

Transuterine Fetal Tracheal Occlusion Model in Mice
06:31

Transuterine Fetal Tracheal Occlusion Model in Mice

Published on: February 5, 2021

3.2K

Surgical management of congenital tracheal stenosis associated with complex cardiovascular anomalies

Keiichi Morita1, Tadashi Hatakeyama2

  • 1Department of Pediatric Surgery, Kobe Children's Hospital, 1-6-7 Minatojimaminamimachi, Chuo-ku, Kobe, 650-0047, Japan. morita_kch@hp.pref.hyogo.jp.

Pediatric Surgery International
|September 9, 2022
PubMed

Insights

Slide tracheoplasty for congenital tracheal stenosis (CTS) in infants with complex cardiovascular anomalies (CVAs) showed no mortality. Simultaneous repair required more preoperative respiratory support than staged repair, with management guided by symptom severity.

Area of Science:

  • Pediatric Surgery
  • Cardiovascular Surgery
  • Respiratory Medicine

Background:

  • Congenital tracheal stenosis (CTS) management has improved, but concurrent complex cardiovascular anomalies (CVAs) present significant challenges.
  • Effective surgical strategies for CTS in infants with complex CVAs are crucial for improved outcomes.

Purpose of the Study:

  • To clarify the clinical features and surgical management of congenital tracheal stenosis (CTS) in patients with complex cardiovascular anomalies (CVAs).
  • To evaluate the outcomes of slide tracheoplasty in this specific patient population.

Main Methods:

  • Retrospective review of 14 patients with complex CVAs undergoing slide tracheoplasty for CTS between May 2016 and February 2022.
  • Complex CVAs were defined excluding left pulmonary artery sling and simple cardiac shunts.
  • Data collected included age, weight, respiratory support, surgical approach (simultaneous vs. staged repair), and mortality.

Main Results:

  • Median age at tracheal reconstruction was 3.5 months (range, 1-17 months); median weight was 4.7 kg (range, 2.3-8.2 kg).
  • Eight patients underwent simultaneous CTS and CVA repair; six had staged repair.
  • Simultaneous repair was associated with higher preoperative respiratory support needs (100% vs. 33.3%, P=0.015).
  • No mortality was observed in the study cohort.

Conclusions:

  • Patients with complex CVAs often require early tracheal reconstruction for CTS.
  • Surgical strategy is primarily determined by the severity of respiratory symptoms.
  • Slide tracheoplasty is a viable option with no mortality in this challenging patient group.
Abstract

Keywords:
Cardiovascular anomaliesCongenital tracheal stenosisSlide tracheoplastyTracheal reconstruction

More Related Videos

Seeding and Implantation of a Biosynthetic Tissue-engineered Tracheal Graft in a Mouse Model09:57

Seeding and Implantation of a Biosynthetic Tissue-engineered Tracheal Graft in a Mouse Model

Published on: April 1, 2019

7.3K
Surgical Management of Meatal Stenosis with Meatoplasty04:53

Surgical Management of Meatal Stenosis with Meatoplasty

Published on: November 30, 2010

52.9K

Related Concept Videos

Trachea01:22

Trachea

The trachea, commonly known as the windpipe, is a vital part of the human respiratory system. It serves as a passageway for air to travel between the larynx and the bronchi, allowing oxygen to reach the lungs. Let's explore its anatomical features, dimensions, layers of the tracheal wall, associated muscles, and the functions of its parts.
Anatomical Features:
Location: About half of the trachea is situated in the neck, anterior to the esophagus, and extends from the larynx (at the level of...
2.6K
Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
989
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques01:30

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques

Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
53
Mitral Stenosis III: Medical Management01:26

Mitral Stenosis III: Medical Management

Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
18
Tracheostomy Decannulation01:21

Tracheostomy Decannulation

Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
357
Tracheostomy Care I: Pre-procedural Steps01:16

Tracheostomy Care I: Pre-procedural Steps

A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
Required Equipment
The equipment necessary for tracheostomy care includes:
357