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Three-dimensional printed degradable splint in the treatment of pulmonary artery sling associated with severe bilateral bronchus stenosis

Part of: Surgery

Published online by Cambridge University Press:  10 October 2018

Yuehu Han ,
Qiang Yin ,
Yuan Wang ,
Hongliang Zhao ,
Jiankang He  and
Chunhu Gu
Yuehu Han
Affiliation:
Department of Cardiovascular Surgery, Xijing Hospital, Fourth Military Medical University, Xi’an, China
Qiang Yin
Affiliation:
Department of Cardiovascular Surgery, Xijing Hospital, Fourth Military Medical University, Xi’an, China
Yuan Wang
Affiliation:
Department of Neurosurgery, Tangdu Hospital, Fourth Military Medical University, Xi’an, China
Hongliang Zhao
Affiliation:
Department of Radiology, Xijing Hospital, Fourth Military Medical University, Xi’an, China
Jiankang He
Affiliation:
State Key Laboratory for Manufacturing Systems Engineering, Xi’an Jiaotong University, Xi’an, China
Chunhu Gu*
Affiliation:
Department of Cardiovascular Surgery, Xijing Hospital, Fourth Military Medical University, Xi’an, China
*
Author for correspondence: Chunhu Gu, Department of Cardiovascular Surgery, Xijing Hospital, Fourth Military Medical University, Xi’an, China. Tel: 18629267464; Fax: 029-84775311; E-mail: [email protected]
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Abstract

Pulmonary artery sling is a congenital cardiovascular disease and is usually accompanied by tracheobronchial stenosis. Generally, infants diagnosed with pulmonary artery sling should have surgery. However, the treatment of tracheobronchial stenosis is still controversial. Our team developed a customised, degradable, three-dimensional printed splint and successfully applied it in the treatment of pulmonary artery sling associated with severe bilateral bronchus stenosis. We suggested that three-dimensional printing may be a novel and effective way to treat tracheobronchial stenosis and other diseases in children.

Keywords

Pulmonary artery slingtracheobronchial stenosisatrial septal defectthree-dimensional printingsplinting
Type
Brief Report
Information
Cardiology in the Young , Volume 28 , Issue 12 , December 2018 , pp. 1477 - 1480
Copyright
© Cambridge University Press 2018 

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References

1. Berdon, WE , Baker, DH , Wung, JT , et al. Complete cartilage-ring tracheal stenosis associated with anomalous left pulmonary artery: The ring-sling complex. Radiology 1984; 152: 57–64.Google Scholar
2. Backer, CL , Idriss, FS , Holinger, LD , Mavroudis, C . Pulmonary artery sling. Results of surgical repair in infancy. J Thorac Cardiovasc Surg 1992; 103: 683–691.Google Scholar
3. Potts, WJ , Holinger, PH , Rosenblum, AH . Anomalous left pulmonary artery causing obstruction to right main bronchus: Report of a case. J Am Med Assoc 1954; 155: 1409–1411.Google Scholar
4. Fiore, AC , Brown, JW , Weber, TR , Turrentine, MW . Surgical treatment of pulmonary artery sling and tracheal stenosis. Ann Thorac Surg 2005; 79: 38–46; discussion 38-46.Google Scholar
5. Cohen, SR , Landing, BH . Tracheostenosis and bronchial abnormalities associated with pulmonary artery sling. Ann Otol Rhinol Laryngol 1976; 85: 582–590.Google Scholar
6. Hong, X , Zhou, G , Liu, Y , Liu, Y , Wang, H , Feng, Z . Management of pulmonary artery sling with tracheal stenosis: LPA re-implantation without tracheoplasty. Int J Clin Exp Med 2015; 8: 2741–2747.Google Scholar
7. Rankin, TM , Giovinco, NA , Cucher, DJ , Watts, G , Hurwitz, B , Armstrong, DG . Three-dimensional printing surgical instruments: Are we there yet? J Surg Res 2014; 189: 193–197.Google Scholar
8. Schmauss, D , Juchem, G , Weber, S , Gerber, N , Hagl, C , Sodian, R . Three-dimensional printing for perioperative planning of complex aortic arch surgery. Ann Thorac Surg 2014; 97: 2160–2163.Google Scholar
9. Backer, CL , Russell, HM , Kaushal, S , Rastatter, JC , Rigsby, CK , Holinger, LD . Pulmonary artery sling: Current results with cardiopulmonary bypass. J Thorac Cardiovasc Surg 2012; 143: 144–151.Google Scholar
10. Procacci, C , Residori, E , Bertocco, M , Di Benedetto, P , Andreis, IA , D’Attoma, N . Left pulmonary artery sling in the adult: Case report and review of the literature. Cardiovasc Intervent Radiol 1993; 16: 388–391.Google Scholar
11. Loukanov, TS , Sebening, C , Springer, W , Hagl, S , Karck, M , Gorenflo, M . The evolution of the pulmonary arterial sling syndrome, with particular reference to the need for reoperations because of untreated tracheal stenosis. Cardiol Young 2009; 19: 446.Google Scholar
12. Lovett, M , Entrikin, D , Ungerleider, R , Ootaki, Y . Pulmonary artery sling and tracheal bronchus presenting in a 2-year-old child. Ann Thorac Cardiovasc Surg: Off J Assoc Thorac Cardiovasc Surg Asia 2013; 19: 302–304.Google Scholar
13. Healey, D , Ron, N , Hromada, A , Chhabra, M . Perinatal/neonatal case presentation: Pulmonary artery sling associated with respiratory distress. SpringerPlus 2016; 5: 31.Google Scholar
14. Yamaguchi, M , Ohashi, H , Hosokawa, Y , Oshima, Y , Tsugawa, C , Kimura, K . Surgical treatment of airway obstruction associated with congenital heart disease in infants and small children. Eur J Cardiothorac Surg: Off J Eur Assoc Cardiothorac Surg 1991; 5: 479–485.Google Scholar
15. Dutau, H , Maldonado, F , Laroumagne, S , Astoul, P . Silicone stents, the rigid bronchoscope, and the standard of care in central airway stenosis. Curr Respir Care Rep 2012; 1: 46–53.Google Scholar
16. Bolliger, CT , Probst, R , Tschopp, K , Perruchoud, A . Silicone stents in the management of inoperable tracheobronchial stenoses. Indications and limitations. CHEST J 1993; 104: 1653–1659.Google Scholar
17. Frame, M , Leach, W . Diy 3d printing of custom orthopaedic implants: A proof of concept study. Surg Technol Int 2014; 24: 314–317.Google Scholar
18. Zopf, DA , Hollister, SJ , Nelson, ME , Ohye, RG , Green, GE . Bioresorbable airway splint created with a three-dimensional printer. N Engl J Med 2013; 368: 2043–2045.Google Scholar
19. Jurgens, WJ , Kroeze, RJ , Bank, RA , Ritt, MJ , Helder, MN . Rapid attachment of adipose stromal cells on resorbable polymeric scaffolds facilitates the one-step surgical procedure for cartilage and bone tissue engineering purposes. J Orthop Res: Official Publication of the Orthopaedic Research Society 2011; 29: 853–860.Google Scholar