Ann Thorac Surg 1996;62:989
© 1996 The Society of Thoracic Surgeons
Discussion
Discussion
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See also page 981.
DR HERMES C. GRILLO (Boston, MA): I thank Dr Bando and associates for the opportunity to read this very careful and excellent report in manuscript form.It was demonstrated many years ago that the juvenile trachea does indeed grow after anastomosis, but it very quickly became clear that resection and reconstruction were impossible for these long congenital stenoses. In 1982, Kimura and colleagues offered a solution, namely longitudinal tracheoplasty with a cartilaginous patch. Since then, Idriss, Backer, Mavroudis, and their colleagues in Chicago and the group from Indianapolis have used patches of pericardium with success. Huddleston's report from St. Louis last year offered added good results with cartilage patch tracheoplasty. Patch tracheoplasty has matured as a relatively safe and effective technique for these critically ill patients. Recently, in an effort to simplify this approach, Goldstraw, in England, proposed a procedure known as a slide tracheoplasty, using the patient's own tissues for repair. We have had success with a small series of these cases, although our patients were less critical than the tiny patients described by Bando and associates.
The relative merits of cartilage versus pericardium for patch tracheoplasty have . . . [Full Text of this Article]
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Anterior Pericardial Tracheoplasty for Congenital Tracheal Stenosis: Intermediate to Long-Term Outcomes
- Ko Bando, Mark W. Turrentine, Kyung Sun, Thomas G. Sharp, Bruce Matt, Boaz Karmazyn, Stephen A. Heifetz, John Stevens, Kenneth A. Kesler, and John W. Brown
Ann. Thorac. Surg. 1996 62: 981-989.
[Abstract]
[Full Text]
Copyright © 1996 by The Society of Thoracic Surgeons.
