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Aortopexy

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https://www.readbyqxmd.com/read/29229483/outcomes-of-fundoplication-in-oesophageal-atresia-associated-gastrooesophageal-reflux-disease
#1
Antti I Koivusalo, Risto J Rintala, Mikko P Pakarinen
AIM OF THE STUDY: Conservative management of gastrooesophageal reflux (GORD) in oesophageal atresia (OA) is sometimes inefficient, and fundoplication is required. We assessed the outcomes of fundoplication among OA patients from 1980 to 2016. METHODS: After ethical consent, hospital records of 290 patients, including 22 referred patients, were reviewed. Included were 262 patients with end-to-end repair. Excluded were patients who underwent oesophageal reconstruction (n=23) or no repair (n=5)...
November 12, 2017: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29224761/direct-tracheobronchopexy-via-left-lateral-thoracotomy-for-severe-tracheobronchomalacia
#2
Evan J Propst, Faisal Zawawi, Roxanne E Kirsch, Osami Honjo
An infant with pulmonary atresia/ventricular septal defect/major aortopulmonary collateral arteries underwent unifocalization, ventriculoseptal defect closure and placement of a right ventricle to pulmonary artery conduit via median sternotomy. Aortopexy and pulmonary arteriopexy via redo sternotomy were insufficient to allow weaning of continuous positive airway pressure and he required direct tracheobronchopexy via left lateral thoracotomy to alleviate posterior trachealis intrusion along the length of the trachea and left main bronchus...
December 2017: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/29174374/tracheobronchial-stenting-for-airway-malacia
#3
REVIEW
Colin Wallis, Clare A McLaren
Tracheobronchomalacia is a rare but clinically troublesome condition in paediatrics. The softening of the major airways - which can include some or all of the tracheobronchial tree can lead to symptoms ranging from the minor (harsh barking cough, recurrent chest infections) to severe respiratory difficulties including prolonged ventilator support and 'near death attacks'. The causes are broadly divided into intrinsic softening of the airway wall which is considered a primary defect (e.g. syndromes; post tracheo-oesophageal fistula repair; extreme prematurity) or secondary malacia due to external compression from vascular structures or cardiac components...
October 13, 2017: Paediatric Respiratory Reviews
https://www.readbyqxmd.com/read/29127957/esophageal-atresia-and-upper-airway-pathology
#4
REVIEW
David C van der Zee, Maud Y A van Herwaarden, Caroline C C Hulsker, Marieke J Witvliet, Stefaan H A Tytgat
Esophageal atresia is an anomaly with frequently occurring sequelae requiring lifelong management and follow-up. Because of the complex issues that can be encountered, patients with esophageal atresia preferably should be managed in centers of expertise that have the ability to deal with all types of anomalies and sequelae and can perform rigorous lifelong follow-up. Tracheomalacia is an often-occurring concurrent anomaly that may cause acute life-threatening events and may warrant immediate management. In the past, major thoracotomies were necessary to carry out the aortopexy...
December 2017: Clinics in Perinatology
https://www.readbyqxmd.com/read/29126167/outcome-of-long-term-complications-after-permanent-metallic-left-bronchial-stenting-in-children
#5
Paola Serio, Raffaella Nenna, Marco Di Maurizio, Stefano Avenali, Roberto Leone, Roberto Baggi, Luigi Arcieri, Bruno Murzi, Andrea Quarti, Marco Pozzi, Lorenzo Mirabile, Fabio Midulla
OBJECTIVES: We describe the way we treated 7 children with critical long-term complications after metallic balloon-expandable stenting in the left mainstem bronchus. METHODS: Endoscopic follow-up included a first bronchoscopy 3 weeks after stenting, then monthly for 3 months, every 4-6 months up to 1 year and at scheduled times to calibrate stent diameter up to final calibration. When major complications occurred, patients underwent chest computed tomographic angiography...
November 8, 2017: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/28992967/aortopexy-for-left-pulmonary-vein-obstruction
#6
Yasuhiro Kotani, Toshikazu Sano, Arai Sadahiko, Shingo Kasahara
No abstract text is available yet for this article.
September 15, 2017: Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/28933235/aortopexy-for-life-threatening-airway-obstruction-following-division-of-double-aortic-arch
#7
Katrina Hammond-Jack, Karthik Vaidyanathan Ramakrishnan, Dilip S Nath
Symptoms of airway compression secondary to double aortic arch are relieved by division of one of the two aortic arches. However, in some cases inherent tracheomalacia and other factors may result in persistence of symptoms. We report one such occurrence in our experience and describe the use of aortopexy as a curative procedure to tackle this problem.
January 1, 2017: World Journal for Pediatric & Congenital Heart Surgery
https://www.readbyqxmd.com/read/28605441/aortopexy-offers-surgical-options-for-a-variety-of-pathological-tracheal-conditions-in-paediatric-patients
#8
Anna Gruszka, Joerg S Sachweh, Heike Schnoering, Klaus Tenbrock, Eberhard G Muehler, Michael Laschat, Jaime F Vazquez-Jimenez
OBJECTIVES: Aortopexy is widely used; however, many surgeons still regard it with suspicion. To date, there are only a few large series and minimal long-term data. Against this background, our goal was to report our experience, particularly with regard to the recent expansion of indications and modification of diagnostic routine and surgical strategy. METHODS: Between 1994 and 2012, 53 patients (mean age: 1.1 years; 5 weeks-10.2 years) were operated on. Tracheomalacia after the operation for oesophageal atresia was the main indication for aortopexy (74%), followed by tracheal compression by the innominate artery (17%) and other selected indications (9%)...
October 1, 2017: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/28385426/posterior-tracheopexy-for-severe-tracheomalacia
#9
Hester F Shieh, C Jason Smithers, Thomas E Hamilton, David Zurakowski, Lawrence M Rhein, Michael A Manfredi, Christopher W Baird, Russell W Jennings
PURPOSE: In severe tracheomalacia, aortopexy addresses anterior vascular compression, but does not directly address posterior membranous tracheal intrusion. We review patient outcomes of posterior tracheopexy for tracheomalacia with posterior intrusion to determine if there were resolution of clinical symptoms and bronchoscopic evidence of improvement in airway collapse. METHODS: All patients who underwent posterior tracheopexy from October 2012 to March 2016 were retrospectively reviewed...
June 2017: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/28185629/the-role-of-adjunctive-procedures-in-reducing-postoperative-tracheobronchial-obstruction-in-single-lung-patients-with-congenital-tracheal-stenosis-undergoing-slide-tracheoplasty
#10
Akiko Yokoi, Yoshihiro Oshima, Eiji Nishijima
PURPOSE: Congenital tracheal stenosis (CTS) and a single right lung treated with slide tracheoplasty (ST) has relatively high rates of mortality and morbidity. We report a single institution's experience with adjunctive procedures at the time of ST to reduce postoperative tracheal obstruction in patients with a single right lung and CTS. METHODS: With IRB approval, 8 patients with a single right lung and CTS who underwent ST in our institution between 2008 and 2016 were reviewed...
May 2017: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/28028638/long-term-morbidity-in-adolescents-and-young-adults-with-surgically-treated-esophageal-atresia
#11
Hiroomi Okuyama, Yuko Tazuke, Takehisa Uenoa, Hiroaki Yamanaka, Yuichi Takama, Ryuta Saka, Keigo Nara, Noriaki Usui
PURPOSE: To investigate the long-term morbidity of surgically treated esophageal atresia (EA) in adolescents and young adults and establish whether these long-term morbidities are affected by the type of EA. PATIENTS AND METHODS: We reviewed the medical records, including backgrounds and associated conditions, of 69 long-term survivors of EA, aged >15 years. The long-term morbidities included neurodevelopmental abnormality, nutritional impairment (short height <-2SD, low BMI <18...
July 2017: Surgery Today
https://www.readbyqxmd.com/read/27568138/advances-in-surgical-treatment-of-congenital-airway-disease
#12
REVIEW
William S Ragalie, Michael E Mitchell
Tracheobronchomalacia (TBM) is frequently present in infants and children with congenital heart disease (CHD). Infants with CHD and TBM appear to do worse than those without TBM. The principle of operative intervention for TBM is to improve function of the airway and clinical status. When indicated, conventional surgical options include tracheostomy, aortopexy, tracheoplasty, and anterior tracheal suspension. There is no consensus on the optimal treatment of severe tracheobonchomalacia, which can be associated with a mortality rate as high as 80%...
December 0: Seminars in Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/27382044/the-role-of-posterior-aortopexy-in-the-treatment-of-left-mainstem-bronchus-compression
#13
Luigi Arcieri, Paola Serio, Raffaella Nenna, Marco Di Maurizio, Roberto Baggi, Nadia Assanta, Riccardo Moschetti, Bruno Noccioli, Lorenzo Mirabile, Bruno Murzi
OBJECTIVES: We reviewed the role of posterior aortopexy for left mainstem bronchus compression in infants and children. METHODS: Eighteen children with respiratory symptoms were enrolled between 2005 and 2015 for surgical decompression of the left mainstem bronchus. The children were managed from diagnosis to follow-up by a dedicated tracheal team. Primary outcomes were the complete relief of symptoms or improvement with respect to preoperative clinical status. RESULTS: The median age was 4 years (0...
November 2016: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/27343517/direct-tracheobronchopexy-and-posterior-descending-aortopexy-for-severe-left-mainstem-bronchomalacia-associated-with-congenital-pulmonary-airway-malformation-and-left-circumflex-aortic-arch
#14
Christopher W Baird, Sanjay Prabhu, Terry L Buchmiller, Charles Smithers, Russell Jennings
Complex tracheobronchial obstruction and malacia can be associated with conotruncal and aortic arch anomalies. A circumflex aortic arch composed of a left aortic arch and right descending aorta is an extremely rare anomaly that can severely affect the distal trachea and mainstem bronchi, resulting in severe respiratory symptoms. We report the case of a patient with circumflex aortic arch and severe left mainstem bronchial obstruction and malacia in which the external aortic compression and residual bronchomalacia were addressed with direct bronchial and tracheal intervention...
July 2016: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/27209610/descending-aortic-translocation-for-relief-of-distal-tracheal-and-proximal-bronchial-compression
#15
E Dean McKenzie, Mark E Roeser, Jess L Thompson, Luis E De León, Iki Adachi, Jeffrey S Heinle, Carlos M Mery, Charles D Fraser
BACKGROUND: A descending thoracic aorta that traverses the midline is an uncommon cause of airway compression affecting the distal trachea and proximal main bronchi. Posterior aortopexy has had inconsistent results. METHODS: A retrospective review determined that, since 2004, 5 children have undergone descending aortic translocation at Texas Children's Hospital. The average age at the time of surgical treatment was 4.2 years, and all patients presented with recurring respiratory illness requiring hospitalization...
September 2016: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/27128381/short-length-ligamentum-arteriosum-as-a-cause-of-congenital-narrowing-of-the-left-main-stem-bronchus
#16
Oliviero Sacco, Francesco Santoro, Elena Ribera, Gian Michele Magnano, Giovanni A Rossi
An entity that has received little attention as cause or recurrent respiratory disorder is the narrowing of the left main stem bronchus. When not associated with congenital heart disorders, this condition has been ascribed to primary localized malacia of the bronchial cartilages or to the anterior displacement of the descending aorta in front to the adjacent vertebral bodies. Four girls were evaluated for recurrent/chronic respiratory symptoms. A pulsatile extrinsic compression on the posterior bronchial wall of the left main stem bronchus was detected, pressed between the descending aorta, posteriorly, and the left pulmonary artery, anteriorly...
December 2016: Pediatric Pulmonology
https://www.readbyqxmd.com/read/27098607/suprasternal-approach-aortopexy-relieves-tracheal-compression-after-nikaidoh-procedure
#17
David Horne, Michelle Noga, Vijay Anand, Ivan M Rebeyka
Tracheal obstruction secondary to vascular and soft tissue compression, after Nikaidoh procedure, can effectively be managed with aortopexy from a suprasternal incision.
January 2017: World Journal for Pediatric & Congenital Heart Surgery
https://www.readbyqxmd.com/read/26968054/treatment-of-severe-tracheobronchomalacia-ten-year-experience
#18
Lorraine A de Trey, Julia Dudley, Hasnaa Ismail-Koch, Andrew Durward, Hannah Bellsham-Revell, Sean Blaney, Ian Hore, Conal B Austin, Gavin A Morrison
INTRODUCTION: Paediatric tracheobronchomalacia is a rare but potentially serious condition. Severe tracheobronchomalacia requires intervention or operation. This is an evaluation of a ten-year experience at an institution. METHODS: In this retrospective study all patients were included that required an intervention for severe tracheobronchomalacia from 2003 to 2012. Symptoms, aetiology, comorbidities, localisation of the malacia, age at diagnosis, therapeutic measures and associated complications were evaluated...
April 2016: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/26885306/usefulness-of-intraoperative-bronchoscopy-during-surgical-repair-of-a-congenital-cardiac-anomaly-with-possible-airway-obstruction-three-cases-report
#19
JongEun Oh, Jung-Won Kim, Won-Jung Shin, Mijeung Gwak, Pyung Hwan Park
Compression of the airway is relatively common in pediatric patients, although it is often an unrecognized complication of congenital cardiac and aortic arch anomalies. Aortopexy has been established as a surgical treatment for tracheobronchial obstruction associated with vascular anomaly, aortic arch anomaly, esophageal atresia, and tracheoesophageal fistula. The tissue-to-tissue arch repair technique could result in severe airway complication such as compression of the left main bronchus which was not a problem before the correction...
February 2016: Korean Journal of Anesthesiology
https://www.readbyqxmd.com/read/26718831/statistical-modelling-of-survival-for-babies-with-oesophageal-atresia
#20
Matthew J Hartley, Nicholas P M Smith, Bruce Jaffray
AIM OF STUDY: We examined variables associated with survival for oesophageal atresia between 1996 and 2014. METHODS: Possible explanatory variables: birth weight, gestation, cardiac anomalies (any or major), renal anomalies (any or severe), primary anastomosis, leak, secondary oesophageal surgery, tracheomalacia, aortopexy, tracheostomy, gastrostomy, fundoplication, karyotype, neurological status. Variables were assessed with logistic regression and a new model assessed with Kaplan-Meier graphs...
July 2016: Journal of Pediatric Surgery
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