Repair of congenital tracheal stenosis with a free tracheal autograft

Slides:

Advertisements

Similar presentations

The additional hospital costs generated in the management of complications of pacemaker and defibrillator implantations T.Bruce Ferguson, MD, Candice Lilley.

Advertisements

Roger J.F. Baskett, MD, David B. Ross, MD

Ralph J. Lewis, MD The Journal of Thoracic and Cardiovascular Surgery

Pulmonary Valve Preservation Strategies for Tetralogy of Fallot Repair

Partial cricoidectomy with primary thyrotracheal anastomosis for postintubation subglottic stenosis Paolo Macchiarini, MD, PhDa, Jean-Philippe Verhoye,

Congenital Right Intermediate Bronchial Stenosis With Carina Trifurcation: Successful Management With Slide Tracheobronchial Plasty En-Ting Wu, MD, Ming-Chun.

Evolving Surgical Strategy for Sinus Venosus Atrial Septal Defect: Effect on Sinus Node Function and Late Venous Obstruction Robert D. Stewart, MD, Frédérique.

Heart–lung transplantation in a patient with large aortopulmonary collaterals by means of an extended approach Klaus Kallenbach, MD, Andre R. Simon,

Hani K. Najm, MD, Christopher A

Surgical resection of lung cancer originating in a tracheal bronchus

Closure with bronchial wall flap and omental pedicle of defect caused by dehiscence of tracheal suture line after extended right upper sleeve lobectomy

Slide Tracheoplasty for Congenital Tracheal Stenosis

Tracheal compression caused by an innominate artery aneurysm after thoracic aortic aneurysm repair in a patient with Marfan disease P.W. de Feiter, MD,

Jean-Paul A. Couetil, MDa, Michael J. Tolan, FRCSIa, Didier F

Pulmonary artery–bronchial fistula during lymphoma treatment

Steven R. Gundry, MD, Matthew A. Romano, MD, O

Skinning the cat: Another wrinkle for T-tube insertion

Transmanubrial approach to the thoracic inlet

A Novel Technique for Laryngotracheal Reconstruction for Idiopathic Subglottic Stenosis Anna M. Ciccone, MD, Camilla Vanni, MD, Giulio Maurizi, MD, Antonio.

Tetralogy of Fallot: Results of a Pulmonary Valve-Sparing Strategy

Harold L. Lazar, MD The Journal of Thoracic and Cardiovascular Surgery

Zhengcheng Liu, MD, Rusong Yang, MD, Feng Shao, MD, Yanqing Pan, MD

Single-Staged Laryngotracheal Reconstruction for Idiopathic Tracheal Stenosis Alfonso Morcillo, PhD, Richard Wins, MD, Abel Gómez-Caro, PhD, Marina Paradela,

Hemi-Fontan Procedure

Commentary: Pursuit of the green jacket: Mastery of the long and short games Daniel P. Raymond, MD The Journal of Thoracic and Cardiovascular Surgery

The lord of the rings Antonio Miceli, MD, PhD

Nervin Fanous, MD, S. Adil Husain, MD, Mark Ruzmetov, MD, PhD, Mark D

Rong Yin, MD, PhD, Ninglei Qiu, MD, Jun Zhu, MD, Lin Xu, MD, PhD

Editorial: The core of leadership

Congenital Tracheal Stenosis: Tracheal Autograft Technique

Postintubation tracheal stenosis

Clinical experience with carinal resection

Primary repair of rupture of a main and lobar bronchus

Charles L Willekes, MD, Carl L Backer, MD, Constantine Mavroudis, MD

Endoscopic Carbon Dioxide Laser Division of Congenital Complete Tracheal Rings: A New Operative Technique W.Andrew Clement, FRCS, Neil K. Geddes, FRCS,

Use of Partial Cardiopulmonary Bypass for Coarctation Repair Through a Left Thoracotomy in Children Without Collaterals Carl L. Backer, MD, Robert D.

Support Your Specialty

Side-to-Side Tracheobronchoplasty to Reconstruct Complex Congenital Tracheobronchial Stenosis William S. Ragalie, MD, Robert H. Chun, MD, Timothy Martin,

T. Carrel, MD, M. Pasic, MD, U. Niederhäuser, MD, M. Turina, MD

Postinfarction ventricular septal rupture: Repair by endocardial patch with infarct exclusion Tirone E. David, MD, Laura Dale, RN (by invitation), Zhao.

Evaluation and outcome of different surgical techniques for postintubation tracheoesophageal fistulas Paolo Macchiarini, MD, PhD, Jean-Philippe Verhoye,

Esophageal stent migration into the trachea

Repair of long-segment tracheal stenosis in infancy

Increase in size of the pulmonary autograft after the ross operation in children: Growth or dilation? Laszlo Solymar, MD, PhD, Göran Südow, MD, Daniel.

Pediatric tracheal homograft reconstruction: A novel approach to complex tracheal stenoses in children Jeffrey P. Jacobs, MDa*, Martin J. Elliott, MD,

H. Yokomise, MDa, K. Inui, MDa, H. Wada, MDa, M. Ueda, MDa, S

Tracheal reimplantation of the right upper lobe bronchus with sleeve main and intermedius bronchus resection and reconstruction Carsten Schröder, MD,

Tracheal Reconstruction in the Pediatric Population: How I Teach It

Nahidh Hasaniya, MD, Chawki F

Mediastinal vagal neurilemmoma causing tracheal stenosis

Right aortic arch, right ligamentum, absent left pulmonary artery: a rare vascular ring Ali Dodge-Khatami, MD, Carl L Backer, MD, Michael E Dunham, MD,

Leiomyoma of an Accessory Tracheal Bronchus

Surgical management and follow-up of a complex tracheobronchial injury

Constantine L. Athanasuleas, MD, FACC

The Journal of Thoracic and Cardiovascular Surgery

Discussion The Journal of Thoracic and Cardiovascular Surgery

The future of cardiac surgery training: A survival guide

Carinal Resection and Reconstruction in Surgical Treatment of Bronchogenic Carcinoma with Carinal Involvement Feng Jiang, MD, PhD, Lin Xu, MD, PhD, Fangliang.

Atypical bronchoplasty to preserve the lung parenchyma: The bronchofolding technique Mitsuhiro Kamiyoshihara, MD, PhD, Takashi Ibe, MD, Atsushi Takise,

Bioabsorbable weave technique for repair of pectus excavatum

Minimally invasive direct coronary artery bypass, percutaneous transluminal coronary angioplasty, and stent placement for left main stenosis William.

Of mice and men… The Journal of Thoracic and Cardiovascular Surgery

Hiroaki Osada, MD, Koji Kojima, MD The Annals of Thoracic Surgery

Carl L. Backer, MD, Bradley S. Marino, MD, MPP, MSCE

Tracheobronchoplasty for resection of lung cancer arising from a tracheal bronchus Masaaki Sato, MD, Seiki Hasegawa, MD, PhD, Tsuyoshi Shoji, MD, Hiromi.

One-lung ventilation during surgical procedures on the main bronchus and carina A. Fontana, MD, S. Nazari, MD The Journal of Thoracic and Cardiovascular.

Serafin Y. DeLeon, MD, Jose A. Quinones, MD, Roque Pifarré, MD

Zone zero thoracic endovascular aortic repair is all about “location, location, location” Kevin L. Greason, MD The Journal of Thoracic and Cardiovascular.

Igor E. Konstantinov, MD, PhD

Zipping up after a median sternotomy: Are we at the end of the wire?

Presentation transcript:

Repair of congenital tracheal stenosis with a free tracheal autograft Carl L. Backer, MD, Constantine Mavroudis, MD, Michael E. Dunham, MD, Lauren D. Holinger, MD The Journal of Thoracic and Cardiovascular Surgery Volume 115, Issue 4, Pages 869-874 (April 1998) DOI: 10.1016/S0022-5223(98)70368-X Copyright © 1998 Mosby, Inc. Terms and Conditions

Fig. 1 Patient 1: After median sternotomy and institution of cardiopulmonary bypass, the anterior trachea was incised under bronchoscopic guidance. The trachea was opened from the third tracheal ring to the carina. A portion of the midtrachea measuring six rings long (1.5 cm) was resected to be used as a free autograft. Note the tracheal right upper lobe bronchus that was carefully avoided in both the anterior tracheal incision and the autograft harvest. The Journal of Thoracic and Cardiovascular Surgery 1998 115, 869-874DOI: (10.1016/S0022-5223(98)70368-X) Copyright © 1998 Mosby, Inc. Terms and Conditions

Fig. 2 Patient 1: The two cut ends of the trachea were brought together posteriorly without tension with interrupted sutures. The corners of the lower part of the autograft are trimmed to create a rounded end to fit the trachea above the carina. The lower trachea has been patched open with the tracheal autograft. The upper trachea has been opened with a short pericardial patch (2.5 cm). The Journal of Thoracic and Cardiovascular Surgery 1998 115, 869-874DOI: (10.1016/S0022-5223(98)70368-X) Copyright © 1998 Mosby, Inc. Terms and Conditions

Fig. 3 Patient 2: The lower trachea was incised anteriorly through the extent of the tracheal rings. The area of complete tracheal rings was excised for use as the free tracheal autograft (1.3 cm). The thyroid cartilage, cricothyroid membrane, cricoid, and first two tracheal rings were incised for the cricoid split. The Journal of Thoracic and Cardiovascular Surgery 1998 115, 869-874DOI: (10.1016/S0022-5223(98)70368-X) Copyright © 1998 Mosby, Inc. Terms and Conditions

Fig. 4 Patient 2: The cut ends of the trachea were anastomosed posteriorly. The corners of the autograft were trimmed. The anterior tracheal opening was patched completely with the free tracheal autograft. A small pericardial patch was used to seal the area of the cricoid split. The Journal of Thoracic and Cardiovascular Surgery 1998 115, 869-874DOI: (10.1016/S0022-5223(98)70368-X) Copyright © 1998 Mosby, Inc. Terms and Conditions