TECHNICAL NOTES  THORACIC SECTION 

The Journal of Cardiovascular Surgery 2002 April;43(2):295-7

Copyright © 2009 EDIZIONI MINERVA MEDICA

lingua: Inglese

Pericardial flap aortopexy: an easy and safe technique in the treatment of tracheomalacia

Köylüoglu G., Günay I., Ceran C., Berkan Ö.

From the Department of Pediatric Surgery and *Department of Cardiovascular Surgery, Cumhuriyet University, Faculty of Medicine, Sivas, Turkey

A ­5-­month-old boy who had ­been oper­at­ed for esoph­a­geal atre­sia and trach­e­oe­soph­a­geal fis­tu­la was pre­sent­ed ­with recur­rent ­life-threat­en­ing apne­ic ­spells, expir­a­to­ry stri­dor and dif­fi­cul­ty in feed­ing. Diagnosis of trach­e­om­a­la­cia was con­firmed by bron­chos­co­py and per­i­car­dial ­flap aor­top­exy was per­formed. Pericardial ­flap aor­top­exy is a rel­a­tive­ly sim­ple pro­ce­dure ­with min­i­mal ­risk to the aor­ta. Minimal dis­sec­tion is ­required and ­there are no ­sutures ­placed in the aor­tic ­wall, ­thus avoid­ing the ­risk of ­tears.