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Modified Sliding Tracheal Plasty Using the Bridging Bronchus for Repair of Long-Segment Tracheal Stenosis

^a Department of Cardiac Surgery, University of Heidelberg, Heidelberg, Germany
^b Department of Paediatric Cardiology, University of Heidelberg, Heidelberg, Germany

Accepted for publication August 2, 2007.

^_* Address correspondence to Dr Loukanov, Department of Cardiac Surgery, INF 110, University of Heidelberg, Heidelberg, 69120, Germany (Email: tsvetomir_loukanov{at}med.uni-heidelberg.de).

A child with severe respiratory distress, previously operated on at age 4 months for pulmonary sling and atrial septal defect, underwent reoperation at age 4 years because of long-segment congenital tracheal stenosis complicated by an abnormal branching of the trachea-bridging bronchus. We review the anatomy of that rare pathomorphology and describe a slide tracheoplasty that uses the bridging bronchus for treatment of this complex anomaly.