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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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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: 991996.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: 673682.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: 137142.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: 11871191.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: 325328.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: 221225.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: 10291031.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: 11981202.Google Scholar