Surgical treatment of congenital distal tracheal stenosis involving the carina.

Untreated congenital stenosis of the distal trachea frequently results in lethal airway obstruction. A 3-year-old boy with segmental stenosis of the distal trachea and a 2-year-old girl with segmental stenosis involving the carina and the right main bronchus were treated successfully with resection and reanastomosis. Operative techniques, anesthetic management, postoperative care, and tracheal growth after anastomosis are discussed.