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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
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: colin.mcmahon@olchc.ie

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.

Type
Brief Reports
Copyright
© Cambridge University Press 2014 

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