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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8160289 | PMC |
| http://dx.doi.org/10.1016/j.medine.2021.05.001 | DOI Listing |
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Repair of Tetralogy of Fallot With Absent Pulmonary Valve and Nonconfluent Left Pulmonary Artery.
Ann Thorac Surg Short Rep
December 2023
Department of Pediatric Cardiovascular Surgery, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan.
Tetralogy of Fallot with absent pulmonary valve and a nonconfluent left pulmonary artery is an uncommon combination usually associated with respiratory distress due to tracheobronchial compression by the aneurysmally dilated right pulmonary artery. Although application of the conventional technique is not feasible for this subset of patients, our novel "spiral plication" technique, wherein both the anterior and posterior walls of the dilated right pulmonary artery are resected in a spindle shape and plicated as if it is squeezed spirally, provides effective release of the obstructed airway concomitant with reconstruction of the left pulmonary artery confluence with growth potential.
View Article and Find Full Text PDFCombined Repair of Coarctation of the Aorta and Long-Segment Tracheal Stenosis in a Neonate.
Ann Thorac Surg Short Rep
December 2023
Division of Pediatric Surgery, Yale School of Medicine, New Haven, Connecticut.
Complete tracheal rings requiring concomitant cardiac and airway repair are typically described in association with pulmonary artery sling. We report a newborn case of coarctation of the aorta and incidental discovery of asymptomatic severe tracheal stenosis at the time of attempted coarctation repair. This case illustrates the importance of a thorough airway evaluation, multidisciplinary coordination of pediatric surgical and anesthesia specialties, and detailed preoperative planning to ensure successful surgical treatment of this rare entity of combined neonatal congenital cardiac and airway disease.
View Article and Find Full Text PDFInnominate Artery Compression Syndrome: A Real Entity.
Ann Thorac Surg Short Rep
March 2024
Division of Pediatric Otolaryngology, Children's Hospital New Orleans, LCMC Health, New Orleans, Louisiana.
Extrinsic compromise of the lower airway in infants and children is most often due to vascular compression. Anterior tracheal compression caused by an aberrant course of the innominate artery is commonly referred to as innominate artery compression syndrome. We present a case of innominate artery compression syndrome causing severe tracheal compression precluding tracheostomy decannulation in a 6-year-old child who underwent previous neonatal repair of a left-sided congenital diaphragmatic hernia and coarctation of the aorta followed by tracheostomy and ventilator-dependent management of pulmonary hypoplasia and tracheobronchomalacia.
View Article and Find Full Text PDFSimultaneous Lefort 2 Distraction and Fronto-Orbito-Malar Advancement: Correcting Severe Upper and Midface Retrusion in a Patient With Crouzon Syndrome.
J Craniofac Surg
December 2024
Member of Sociedad Argentina de Ortodoncia, Member of International Society of Craneofacial Surgery, Member of Asociación Latinoamericana de Ortodoncia, Buenos Aires, Argentina.
Craniofacial syndromes present with exorbitism and airway obstruction as a result of upper and middle facial hypoplasia. Classical subcranial Lefort III (LF III) or monobloc distraction osteogenesis (DO) using an external craniofacial device is used to treat these deformities. These procedures are done during mixed dentition, in most cases, advancing an abnormal face, to a more normal position.
View Article and Find Full Text PDFOptimal CPAP Weaning Approaches: A Scoping Review.
J Perinat Neonatal Nurs
October 2024
Author Affiliations:Duke University School of Nursing, Durham (Ms Adeku, Mrs Defore, Dr Newberry, and Ms Yates); University of North Carolina Neonatology, Chapel Hill (Dr Newberry); and Duke University Neonatology, Durham, North Carolina (Ms Yates).
Background: Bronchopulmonary dysplasia (BPD) is a prevalent chronic lung disease affecting premature infants, leading to long-term respiratory complications, hospital readmissions, and significant financial burden on families and the health care system. BPD is caused by lung injury, making it crucial to focus on methods to minimize lung injury and prevent the transition from respiratory distress syndrome to BPD by following evidence-based respiratory support strategies.
Purpose: This scoping review examines methods for weaning preterm infants off continuous positive airway pressure (CPAP) and evaluates their effectiveness in maintaining respiratory independence.
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