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The Journal of Thoracic and Cardiovascular Surgery, Vol 88, 527-536, Copyright © 1984 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
FS Idriss, SY DeLeon, MN Ilbawi, CR Gerson, GF Tucker and L Holinger
Five infants with long tracheal stenosis were operated upon by means of a
pericardial patch tracheoplasty. The approach was through a median
sternotomy with extracorporeal circulation for respiratory support. In
four, the obstruction was due to complete rings; in the other, there was an
associated tracheal trauma which had occurred during resuscitation. This
patient requires prolonged stenting with a tracheostomy tube. All others
are asymptomatic postoperatively, with the longest follow-up being 22
months. There were no deaths or infections. We conclude from this
experience that median sternotomy provides an excellent approach to the
trachea, that autogenous pericardium is advantageous, and that there is no
need for prolonged tracheal stenting in most patients.
ARTICLES
Tracheoplasty with pericardial patch for extensive tracheal stenosis in infants and children
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