Anterior pericardial tracheoplasty for congenital tracheal stenosis: Intermediate to long-term outcomes

Ko Bando, Mark W. Turrentine, Kyung Sun, Thomas G. Sharp, Bruce Matt, Boaz Karmazyn, Stephen A. Heifetz, John Stevens, Kenneth A. Kesler, John W. Brown

Research output: Contribution to journalArticle

49 Scopus citations

Abstract

Background. Although several techniques for the treatment of long-segment stenosis of the trachea have been reported, including slide tracheoplasty, rib grafting, and use of a pericardial patch, the optimal repair remains controversial because of a lack of midterm to long-term follow-up data. Methods. To assess the intermediate and long-term outcomes of patients having repair with anterior pericardial tracheoplasty, we reviewed case histories of 12 patients (1984 to present). The median age was 6.7 months (range, 1 to 98 months), and the median weight was 6.0 kg (range, 0.97 to 42 kg). All patients underwent anterior pericardial tracheoplasty through a median sternotomy during partial normothermic cardiopulmonary bypass. An average of 13 tracheal rings (range, five to 23) were divided anteriorly, and a patch of fresh autologous pericardium was used to enlarge the trachea by 1.5 times the predicted diameter for patient age and weight. Results. There was one hospital death, and all but 2 patients are long-term survivors. All but 1 current survivor remain asymptomatic, with no bronchoscopic evidence of airway obstruction or granulation on the pericardial patch. All survivors examined have normal tracheal growth and development, with a median follow-up of 5.5 years (range, 1 to 11 years). Conclusions. Anterior pericardial tracheoplasty for congenital tracheal stenosis provides excellent results at intermediate to long-term follow-up.

Original languageEnglish (US)
Pages (from-to)981-989
Number of pages9
JournalAnnals of Thoracic Surgery
Volume62
Issue number4
DOIs
StatePublished - Oct 1996

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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