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Ann Thorac Surg 2004;78:1446-1448
© 2004 The Society of Thoracic Surgeons

Case report

Extratracheal Biodegradable Splint to Treat Life-Threatening Tracheomalacia

Philippe Bugmann, MDa,*, Peter C. Rimensberger, MDb, Afksendyios Kalangos, MDa, Constance Barazzone, MDb, Maurice Beghetti, MDb, Florian J. W. Lang, MDc

a Clinic of Pediatric Surgery, Hôpital des Enfants, Geneva, Switzerland
b Department of Pediatrics, Hôpital des Enfants, Geneva, Switzerland
c Department of ENT and Head and Neck Surgery, CHUV, Lausanne, Switzerland

Accepted for publication July 10, 2003.

* Address reprint requests to Dr Bugmann, Hôpital des Enfants, 6 Rue Willy-Donzé, 1211 Geneva 14, Switzerland
philippe.bugmann{at}hcuge.ch

A 9-month-old girl presented with life-threatening acute respiratory failure 1 week after the surgical correction of a double aortic arch, which was due to a severe bulging of the pars membranacea into the lumen of the trachea that produced a complete obstruction of the lower trachea. Under cardiopulmonary bypass, a Y-shaped posterior biodegradable splint was placed behind the trachea and sutured to the posterior trachea, and a simultaneous right aortic arch aortopexy was performed. Thereafter, the child recovered normal respiratory function. Follow-up bronchoscopy showed a posterior dip at the splint level and an asymptomatic persistent posterior compression of the right main bronchus.




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H. Kazaz, M. A. Celkan, H. Ustunsoy, and O. Baspinar
Mitral annuloplasty with biodegradable ring for infective endocarditis: a new tool for the surgeon for valve repair in childhood
Interactive CardioVascular and Thoracic Surgery, August 1, 2005; 4(4): 378 - 380.
[Abstract] [Full Text] [PDF]


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