Hostname: page-component-586b7cd67f-rcrh6 Total loading time: 0 Render date: 2024-11-28T06:58:01.665Z Has data issue: false hasContentIssue false
  • English
  • Français

Successful slide tracheoplasty and partial atrioventricular septal defect repair following extracorporeal membrane oxygenation support

Published online by Cambridge University Press:  03 April 2014

Eoin M. Kelleher ,
Lars Nolke  and
Colin J. McMahon
Eoin M. Kelleher
Affiliation:
Department of Paediatric Cardiology, Our Lady’s Children’s Hospital, Crumlin, Dublin 12, Ireland
Lars Nolke
Affiliation:
Department of Congenital Heart Surgery, Our Lady’s Children’s Hospital, Crumlin, Dublin 12, Ireland
Colin J. McMahon*
Affiliation:
Department of Paediatric Cardiology, Our Lady’s Children’s Hospital, Crumlin, Dublin 12, Ireland
*
Correspondence to: Dr. C. J. McMahon, Department of Paediatric Cardiology, Our Lady’s Children’s Hospital, Crumlin, Dublin 12, Ireland. Tel: +353-1-4096100, Fax: +353-1-4096181; E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

A two-year-old boy with a background history of Down syndrome and partial atrioventricular septal defect presented with acute respiratory distress requiring intubation and mechanical ventilation. He continued to deteriorate, despite ventilation; direct laryngoscopy, bronchoscopy, and computed tomography demonstrated severe long segment tracheal stenosis. He was placed on extracorporeal membrane oxygenation to stabilise his condition. A slide tracheoplasty and complete repair of the partial atrioventricular septal defect was successfully undertaken. His post-operative recovery was complicated by myocardial infarction and stroke but he made a full recovery. This represents the first report of slide tracheoplasty and partial atrioventricular septal defect repair in a child following extracorporeal membrane oxygenation support.

Keywords

atrioventricular septal defecttracheal stenosisslide repair
Type
Brief Reports
Information
Cardiology in the Young , Volume 25 , Issue 3 , March 2015 , pp. 573 - 575
Copyright
© Cambridge University Press 2014 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Anton-Pacheco, JL, Cano, I, Comas, J, et al. Management of congenital tracheal stenosis in infancy. European Journal of Cardiothoracic Surgery 2006; 29: 991–996.Google Scholar
2. Wells, TR, Landing, BH, Shamszadeh, M, Thompson, JW, Bove, KE, Caron, KH. Association of Down syndrome and segmental tracheal stenosis with ring tracheal cartilages: a review of nine cases. Pediatr Pathol 1992; 12: 673–682.Google Scholar
3. Shapiro, NL, Huang, RY, Sangwan, S, Willner, A, Laks, H. Tracheal stenosis and congenital heart disease in patients with Down syndrome: diagnostic approach and surgical outcomes. Int J Pediatr Otorhinolaryngol 2000; 54: 137–142.Google Scholar
4. Manning, PB, Rutter, MJ, Border, WL. Slide tracheoplasty in infants and children: risk factors for prolonged postoperative ventilatory support. Ann Thor Surg 2008; 85: 1187–1191.Google Scholar
5. Anton-Pacheco, JL, Comas, JV, Luna, C, et al. Treatment strategies in the management of severe complications following slide tracheoplasty in children. Eur J Cardiothorac Surg 2014, Jan 20: epub.Google Scholar
6. Okamoto, T, Nishijima, E, Maruo, A, et al. Congenital tracheal stenosis: the prognostic significance of associated cardiovascular anomalies and the optimal timing of surgical treatment. J Pediatr Surg 2009; 44: 325–328.Google Scholar
7. Chiu, PP, Kim, PC. Prognostic factors in the surgical treatment of congenital tracheal stenosis: a multicenter analysis of the literature. J Pediatr Surg 2006; 41: 221–225.CrossRefGoogle ScholarPubMed
8. Yong, MS, d’Udekem, Y, Robertson, CF, Butt, W, Brizard, CP, Konstantinov, IE. Tracehal repair in children: reduction of mortality with advent of slide tracheoplasty. ANZ J Surg 2013, April 18:epub.Google Scholar
9. Elliott, MJ, Speggiorin, S, Vida, VL, et al. Slide tracheoplasty as a rescue technique after unsuccessful patch tracheoplasty. Ann Thor Surg 2009; 88: 1029–1031.Google Scholar
10. Raake, J, Johnson, B, Seger, B, et al. Extracorporeal membrane oxygenation, extubation, and lung-recruitment maneuvers as rescue therapy in a patient with tracheal dehiscence following slide tracheoplasty. Respir Care 2011; 56: 1198–1202.Google Scholar