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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 PDFSurgical Management of a Traumatic Mainstem Bronchus Avulsion.
Ann Thorac Surg Short Rep
December 2024
Department of Thoracic Surgery, Augusta University Medical Center, Augusta, Georgia.
Traumatic tracheobronchial tree injuries are rarely survivable. We present the case of a 31-year-old male patient who had a delayed discovery of a complete right mainstem bronchus avulsion following a motor vehicle collision. Despite initial respiratory stability, the patient rapidly deteriorated on hospital day 4.
View Article and Find Full Text PDFTherapeutic Bronchoscopic Interventions for Non Foreign-Body Removal Indications in Children.
Pediatr Pulmonol
December 2024
All India Institute of Medical Sciences, New Delhi, India.
Background: The indications for pediatric airway endoscopy are expanding and a variety of therapeutic interventions are feasible for central airway obstruction (CAO) and other central airway pathologies, apart from foreign body removal.
Methods: In this retrospective chart review from four centers, we describe the indications, procedures, outcomes, and complications of therapeutic bronchoscopic interventions in children for non foreign-body removal indications.
Results: A total of 72 children (mean age:140 [60.
Tracheobronchial Amyloidosis Causing Left Lung Collapse: A Case Report.
Cureus
October 2024
Pathology, Piedmont Medical Center, Rock Hill, USA.
Tracheobronchial amyloidosis is a rare condition characterized by the deposition of amyloid proteins in the trachea and bronchi, leading to significant respiratory symptoms such as chronic mucoid, cough, dyspnea, and recurrent respiratory infections. We present the case of a 61-year-old individual who developed tracheobronchial amyloidosis, which poses a diagnostic challenge due to its clinical and radiological resemblance to other pulmonary disorders, including chronic bronchitis. Histologically, tracheobronchial amyloidosis is characterized by the presence of amyloid deposits confirmed by Congo red staining, which shows apple-green birefringence under polarized light.
View Article and Find Full Text PDF[Extracorporeal Membrane Oxygenation in Complex Tracheobronchial Surgery: A Series Case Reports and Systematic Review].
Zhongguo Fei Ai Za Zhi
September 2024
Department of Thoracic Surgery, Tangdu Hospital, Air Force Medical University, Xi'an 710038, China.
Airway management in complex tracheobronchial surgery (TBS) remains a challenge in thoracic surgery. The use of extracorporeal membrane pulmonary oxygenation (ECMO) in thoracic surgery is rather rare, except for lung transplantation. To report the safety and efficacy of ECMO in complex TBS, a total of 5 patients with tracheobronchial and bronchial reconstructive surgery supported by ECMO in the Department of Thoracic Surgery of Tangdu Hospital, Air Force Medical University from May 2019 to June 2024 were collected.
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