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Reoperation after pericardial patch tracheoplasty.

C L Backer·C Mavroudis·M E Dunham·L D Holinger
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Abstract

Between 1982 and 1995, 28 infants underwent pericardial tracheoplasty for long-segment tracheal stenosis. Seven of these infants required reoperation or stenting for residual or recurrent tracheal or bronchial stenosis. Revisions were performed 2 to 6 months after the original procedure with cardiopulmonary bypass and bronchoscopic guidance. Two patients underwent repeat pericardial patch tracheoplasty, and four patients underwent insertion of a rib cartilage graft. Two of these patients required Palmaz wire expandable stents and one other patient also underwent stent placement. There was one late death 1 year after cartilage graft insertion. The authors identified three risk factors for reoperation after tracheoplasty; younger age at initial surgery and associated pulmonary artery sling or tracheal right upper lobe bronchus. Good intermediate results are possible in this difficult group of children using a selective and inclusive strategy for tracheal enlargement that includes repeat pericardial tracheoplasty, autologous cartilage grafts, and expandable wire stents.

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Age FactorsCartilageFemaleHumansInfantMalePericardiumPulmonary ArteryReoperationRetrospective StudiesRisk FactorsStatistics, NonparametricStentsTracheal StenosisJournal Article

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C L Backer, C Mavroudis, M E Dunham, L D Holinger. 1997. Reoperation after pericardial patch tracheoplasty.. https://doi.org/10.1016/s0022-3468(97)90409-7

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