Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Reoperation after pericardial patch tracheoplasty

C L Backer1, C Mavroudis, M E Dunham

  • 1Children's Memorial Hospital, and the Department of Surgery, Northwestern University Medical School, Chicago, IL 60614, USA.

Journal of Pediatric Surgery
|July 1, 1997
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

A multicenter study of primary graft failure after infant heart transplantation: impact of extracorporeal membrane oxygenation on outcomes.

Pediatric transplantation·2014
Same author

The cost of cytoreductive surgery and perioperative intraperitoneal chemotherapy in the treatment of peritoneal malignancy in one Greek institute.

Journal of B.U.ON. : official journal of the Balkan Union of Oncology·2013
Same author

An improved in vivo method for atrioventricular node ablation via thoracotomy.

Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologicas·2010
Same author

Arrhythmia management in the Fontan patient.

Pediatric cardiology·2007
Same author

Cardiac plasma cell granulomas: response to oral steroid treatment.

Pediatric cardiology·2004
Same author

Alterations in the natriuretic hormone system related to cardiopulmonary bypass in infants with congestive heart failure.

Pediatric cardiology·2004
Same journal

Reimagining the Surgical Safety Checklist Through a Pediatric Lens.

Journal of pediatric surgery·2026
Same journal

Bridge Fixation Provides Consistent Implant Stability Across Surgical Techniques: A Multicenter Study.

Journal of pediatric surgery·2026
Same journal

National Benchmarks for Penetrating Head Injury in U.S. Children and Adolescents: Mechanism, Intent, and Disparities in Mortality.

Journal of pediatric surgery·2026
Same journal

Long-Term Growth and Neurodevelopmental Outcomes of a Standardized Gastroschisis Feeding Protocol: a retrospective cohort study.

Journal of pediatric surgery·2026
Same journal

Economic Evaluation of Hirschsprung Disease Testing Strategies for Children with Medically-Refractory Chronic Constipation: A Cost-Effectiveness Analysis.

Journal of pediatric surgery·2026
Same journal

Preoperative underweight is associated with a more complicated perioperative course and impairs recovery in Hirschsprung's disease: The pivotal role of weight-for-age z-score.

Journal of pediatric surgery·2026
See all related articles

Pericardial tracheoplasty for long-segment tracheal stenosis in infants can require reoperation. Risk factors include younger age and specific airway anomalies, but good results are possible with various revision techniques.

Area of Science:

  • Pediatric Surgery
  • Thoracic Surgery
  • Congenital Airway Malformations

Background:

  • Long-segment tracheal stenosis is a severe congenital airway obstruction in infants.
  • Pericardial tracheoplasty is a surgical technique used to address this condition.
  • Recurrence or residual stenosis can necessitate reoperation, posing significant challenges.

Purpose of the Study:

  • To evaluate the outcomes of pericardial tracheoplasty for long-segment tracheal stenosis in infants.
  • To identify risk factors associated with reoperation after the initial procedure.
  • To assess the effectiveness of various revision strategies for recurrent stenosis.

Main Methods:

  • Retrospective review of 28 infants undergoing pericardial tracheoplasty between 1982 and 1995.

Related Experiment Videos

  • Analysis of reoperation cases (n=7) requiring revision surgery or stenting.
  • Detailed examination of revision techniques: repeat pericardial patch tracheoplasty, rib cartilage grafts, and expandable wire stents.

    • Main Results:

    • Seven out of 28 infants (25%) required reoperation or stenting for residual/recurrent stenosis.
    • Revision surgeries were performed 2-6 months post-initial procedure, often with cardiopulmonary bypass and bronchoscopic guidance.
    • One late death occurred 1 year after cartilage graft insertion; risk factors for reoperation included younger age, pulmonary artery sling, and right upper lobe bronchus.

    Conclusions:

    • Pericardial tracheoplasty for long-segment tracheal stenosis in infants can achieve good intermediate results.
    • A selective and inclusive strategy for tracheal enlargement, incorporating repeat pericardial tracheoplasty, cartilage grafts, and stents, is effective for managing complex cases.
    • Identifying and managing risk factors is crucial for optimizing outcomes in this challenging pediatric surgical population.