Department of Cardiac Surgery, Royal Children's Hospital, Melbourne, Australia.
Ann Thorac Surg. 2010 Jan;89(1):289-91. doi: 10.1016/j.athoracsur.2009.05.080.
Children undergoing an extensive tracheoplasty, particularly those with associated cardiovascular anomalies, may require long cardiopulmonary bypass, prolonged ventilatory support, subsequent tracheostomy, and multiple reinterventions on the trachea. Thus, these rare patients are at risk of mediastinitis. With tracheal erosion into the adjacent vessels and tracheal perforation during subsequent bronchoscopic interventions. Herein we describe a simple technique of interposition pericardial flap that provides an effective seal and isolation of the tracheoplasty site.
儿童进行广泛的气管成形术，特别是那些伴有心血管异常的儿童，可能需要长时间心肺转流、长时间通气支持、随后的气管造口术和多次气管内介入治疗。因此，这些罕见的患者有发生纵隔炎的风险。在随后的支气管镜介入治疗中，气管侵蚀到相邻的血管和气管穿孔。在此，我们描述了一种简单的心包瓣间置技术，可有效封闭和隔离气管成形部位。
