Department of Pediatrics, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan.
Department of Surgery, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan.
Ann Thorac Surg. 2013 Oct;96(4):1492-1495. doi: 10.1016/j.athoracsur.2013.04.122.
The association of congenital tracheal stenosis and tracheoesophageal (TE) fistula is rare. Here, we report 2 patients with tracheobronchial stenosis (complete cartilage ring) involving the lower trachea and right bronchus. Both patients had associated VACTERL (vertebral anomalies, anal atresia, cardiovascular anomalies, TE, renal, and limb defects) congenital cardiac defects and tracheal diverticula after repair of the TE fistula in type C esophageal atresia. The stenotic segment began at the orifice of the TE fistula, which became diverticula after the TE fistula was repaired. Concomitant repair of congenital cardiac defects and a slide tracheoplasty with elimination of the diverticula were performed successfully.
先天性气管狭窄和气管食管（TE）瘘的关联较为罕见。在此，我们报告 2 例累及下气管和右支气管的气管支气管狭窄（完全软骨环）患者。这 2 例患者均伴有 VACTERL（椎体畸形、肛门闭锁、心血管畸形、TE、肾脏和肢体缺陷）先天性心脏缺损和 C 型食管闭锁 TE 瘘修补术后的气管憩室。狭窄段始于 TE 瘘口，TE 瘘修补后形成憩室。成功地进行了先天性心脏缺损的同时修复和滑动气管成形术，同时消除了憩室。
