Successful extracardiac total cavo pulmonary connection (TCPC) after external tracheobronchial stenting for tracheobronchomalacia

Autor: Hiromi Kurosawa, Takahiko Sakamoto, Shizuko Iwasa, Yuzo Nagase, Toshiharu Shinoka, Hisaya Hasegawa
Rok vydání: 2006
Předmět:
Zdroj: Interactive CardioVascular and Thoracic Surgery. 5:599-601
ISSN: 1569-9293
DOI: 10.1510/icvts.2006.132530
Popis: OBJECTIVES A girl who was diagnosed with cyanotic congenital heart disease in a newborn, showed anoxic spell attacks which we thought were correlated with the congenital heart disease. Although she underwent the palliative operation at 8 months old and her SpO2 was increased, she experienced severe and life-threatening respiratory dysfunction many times after that. After careful examinations, the respiratory complaint was proved to be not only due to cyanotic congenital heart disease but also tracheobronchomalacia. METHOD She had undergone the external stenting to the trachea and right bronchus at 1 year old. After that, she was examined by cardiac catheterization and the Fontan-type operation was successful using a tissue-engineered graft at 2 years old. RESULTS Her post-operative course was uneventful and she was discharged. CONCLUSION It is very important to remember the possible existence of tracheobronchomalacia and prevent a life-threatening attack when congenital cardiac patients experience a prolonged respiratory failure or abnormal respiration.
Databáze: OpenAIRE