Fraga Jose Carlos, Calkoen Emmeline E, Gabra Hany O S, McLaren Clare A, Roebuck Derek J, Elliott Martin J
The Tracheal Service, The Great Ormond Street Hospital for Children, WC1N 3JH London, United Kingdom.
J Pediatr Surg. 2009 Jul;44(7):1454-7. doi: 10.1016/j.jpedsurg.2009.03.035.
Persistent respiratory symptoms often occur after double aortic arch (DAA) repair but rarely require a second operation. We report 4 children with severe respiratory problems (failure to extubate, 2; severe respiratory distress, 2) caused by severe tracheomalacia and tracheal compression after DAA repair, treated by anterior aortopexy. Aortopexy proved effective and safe in improving symptoms and provides a simple treatment option for children with severe malacia or tracheal compression after DAA repair.
双主动脉弓(DAA)修复术后常出现持续性呼吸道症状,但很少需要再次手术。我们报告了4例因DAA修复术后严重气管软化和气管受压导致严重呼吸问题(2例拔管失败,2例严重呼吸窘迫)的儿童,经前路主动脉固定术治疗。主动脉固定术在改善症状方面被证明是有效且安全的,为DAA修复术后患有严重软化或气管受压的儿童提供了一种简单的治疗选择。