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Factors associated with tracheoplasty in children with pulmonary artery sling and congenital tracheal stenosis

Bingqin Wang1, Hao Wang1, Shunmin Wang2

  • 1Department of Cardiac and Thoracic Surgery, Shanghai Children's Medical Center, Shanghai Jiaotong University School of Medicine, Shanghai, China.

The Journal of Thoracic and Cardiovascular Surgery
|July 21, 2026
PubMed

Insights

Children with pulmonary artery sling and congenital tracheal stenosis undergoing tracheoplasty were younger, had long-segment stenosis, and severe airway narrowing. These factors influence surgical decisions in pediatric airway reconstruction.

Area of Science:

  • Pediatric Cardiology
  • Thoracic Surgery
  • Congenital Airway Malformations

Background:

  • Pulmonary artery sling and congenital tracheal stenosis are complex congenital anomalies.
  • Surgical management, including tracheoplasty, is critical for improving outcomes.

Purpose of the Study:

  • To identify anatomical and clinical factors associated with tracheoplasty in children with pulmonary artery sling and congenital tracheal stenosis.
  • To understand predictors for performing tracheoplasty in this pediatric population.

Main Methods:

  • Retrospective multicenter study of 330 children with pulmonary artery sling and congenital tracheal stenosis.
  • Analysis of preoperative clinical data, CT measurements, and operative details.
  • Logistic regression models to identify independent factors associated with tracheoplasty.

Main Results:

  • 91.5% of patients underwent slide tracheoplasty.
  • Younger age, long-segment tracheal stenosis, and more severe airway narrowing were independently associated with tracheoplasty.
  • Tracheoplasty decisions were influenced by multiple factors.

Conclusions:

  • Key factors predicting tracheoplasty in pediatric pulmonary artery sling with tracheal stenosis include younger age, long-segment stenosis, and severity of airway narrowing.
  • Management decisions are multifactorial, not solely based on single imaging parameters.
  • Further prospective research is needed to assess long-term outcomes of different surgical strategies.
Abstract

Keywords:
pulmonary artery slingring-sling complextracheal stenosistracheoplasty

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