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Ann Thorac Surg 2008;86:282-283. doi:10.1016/j.athoracsur.2007.11.025
© 2008 The Society of Thoracic Surgeons
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Christopher A. Caldarone
Peter C.W. Kim
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Case Reports

Topsy-Turvy Heart With Associated Congenital Tracheobronchial Stenosis and Airway Compression Requiring Surgical Reconstruction

Patricio Herrera, MD, Christopher A. Caldarone, MD, Vito Forte, MD, Helen Holtby, MD, Peter Cox, MD, Priscilla Chiu, MD, PhD, Peter C.W. Kim, MD, PhD* Airway Reconstruction Team*

Division of Cardiovascular Surgery, Hospital for Sick Children, Toronto, Ontario, Canada

Accepted for publication November 12, 2007.

* Address correspondence to Dr Kim, 555 University Ave, Rm 1286 (Hill Wing), Toronto, Ontario M5G 1X8, Canada (Email: peter.kim{at}sickids.ca).

We describe a case of "topsy-turvy heart" that necessitated simultaneous left tracheobronchial repair, aortic arch reconstruction, and bronchial stenting in an 11-month-old girl. This case highlights the significant therapeutic dilemmas clinicians are faced with when dealing with conditions having an unknown natural history and unpredictable surgical outcomes, and reinforces the need for these patients to be managed by a multidisciplinary team approach.






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