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采用滑式支气管成形术成功修复婴儿并存支气管软化和先天性心脏缺陷的严重支气管狭窄。

Successful repair of critical bronchial stenosis with coexisting bronchomalacia and congenital heart defects in infants by slide bronchoplasty.

机构信息

Pediatric Cardiac Intensive Care Unit, Hanoi Heart Hospital, Hanoi, Vietnam.

Department of Pediatric Cardiac Surgery, Hanoi Heart Hospital, Hanoi, Vietnam.

出版信息

Interact Cardiovasc Thorac Surg. 2020 Sep 1;31(3):419-421. doi: 10.1093/icvts/ivaa113.

Abstract

Isolated bronchial stenosis in infancy is rare, difficult to manage and becomes more complex when associated with congenital heart defects. Given the small luminal diameter and the proximity of the lung parenchyma to the bronchial lesion in infants, reconstruction of the bronchial stenosis is surgically challenging. We present 2 infant cases having isolated critical bronchial obstruction with congenital heart defects, which were successfully managed by primary one-stage slide bronchoplasty with concomitant heart repair. Both cases had excellent results after the surgery and did well at home without requiring respiratory support.

摘要

婴儿期孤立性支气管狭窄较为罕见,处理困难,若合并先天性心脏缺陷则更为复杂。由于婴儿的管腔直径较小,且肺实质与支气管病变相邻,因此支气管狭窄的重建具有挑战性。我们报告了 2 例孤立性严重支气管阻塞合并先天性心脏缺陷的婴儿病例,这些病例通过一期滑动式支气管成形术和同时的心脏修复成功得到了治疗。这 2 例患儿术后效果均极佳,在家中无需呼吸支持,恢复情况良好。

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