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Ann Thorac Surg 1989;47:310-311
© 1989 The Society of Thoracic Surgeons

Articles

Vascular sling with tracheomalacia: surgical management

Vincent R. Conti, MD*, Thom E. Lobe, MD

Division of Cardiothoracic Surgery, Department of Surgery, University of Texas Medical Branch, Galveston, Texas, USA

Accepted for publication September 19, 1988.

* Address reprint requests to Dr Conti, Division of Cardiothoracic Surgery, The University of Texas Medical Branch, Galveston, TX 77550.

Surgical repair of pulmonary artery sling without concomitant correction of associated tracheal abnormalities has yielded poor results in the past. We combined vascular sling repair done during cardiopulmonary bypass through a median sternotomy incision with tracheopexy for severe associated tracheomalacia in 2 infants. Neither experienced substantial postoperative respiratory difficulties and both had patent vascular anastomoses at 1 year after repair, thus supporting this approach when this combination of lesions is present.




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