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Case Reports

Aortopexy for Tracheomalacia With Dextrocardia, Pulmonary Artery Sling, and Congenital Tracheal Stenosis

^a Department of Surgery, Tokyo Metropolitan Kiyose Children's Hospital, Tokyo, Japan
^b Department of Pediatrics, Sapporo City General Hospital, Sapporo, Japan
^c Department of Transplantation/Pediatric Surgery, Postgraduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan

Accepted for publication February 27, 2009.

^_* Address correspondence to Dr Lee, 1-1-1, Honjo, Kumamoto City, Kumamoto, 860-8556, Japan (Email: kwangjong{at}xrh.biglobe.ne.jp).

We report a rare case of coexisting pulmonary artery sling, congenital tracheal stenosis, and dextrocardia caused by right lung hypoplasia. Successful treatment of severe postoperative tracheomalacia was achieved by aortopexy, aiming displacement of the aortic arch across orthogonally in front of the trachea due to dextrocardia. The aim of this surgery was different from the usual aortopexy for tracheomalacia, which lifts the tracheal wall with the aorta. The three-dimensional evaluation considering the patient's associated malformations led to a successful result.