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Case Reports

Interposition Pericardial Flap After Slide Tracheoplasty in Pulmonary Artery Sling Complex

Department of Cardiac Surgery, Royal Children's Hospital, Melbourne, Australia

Accepted for publication May 26, 2009.

^_* Address correspondence to Dr Konstantinov, Royal Children's Hospital, Flemington Rd, Parkville, VIC 6009, Australia (Email: igor.konstantinov{at}rch.org.au).

Children undergoing an extensive tracheoplasty, particularly those with associated cardiovascular anomalies, may require long cardiopulmonary bypass, prolonged ventilatory support, subsequent tracheostomy, and multiple reinterventions on the trachea. Thus, these rare patients are at risk of mediastinitis. With tracheal erosion into the adjacent vessels and tracheal perforation during subsequent bronchoscopic interventions. Herein we describe a simple technique of interposition pericardial flap that provides an effective seal and isolation of the tracheoplasty site.