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Int. J. Pediatr. Otorhinolaryngol. · Aug 2018
Case ReportsCongenital right bronchial stenosis with high bifurcation: Successful management with side to side tracheobronchial anastomosis.
- Rachel Georgopoulos, Courtney Hill, Jeffrey S Heinle, and Deepak Mehta.
- Department of Pediatric Otolaryngology Texas Children's Hospital, United States. Electronic address: georgopoulos.rachel@gmail.com.
- Int. J. Pediatr. Otorhinolaryngol. 2018 Aug 1; 111: 180-182.
AbstractCongenital bronchial stenosis is a rare entity [1,2]. While there are some reports of congenital bronchial anomalies and their repair in the thoracic literature this is first report in the literature of a bronchial take off just below the larynx managed with surgical success. Here we present a case of a former 33-weeker born with a tracheoesophageal fistula, Tetralogy of Fallot, and a high bifurcation of the right mainstem bronchus with a concomitant long segment bronchial stenosis. Preoperative planning included printing 3-D reconstructed models of the airway to analyze various treatment options. At 3 months of age the patient was taken to the operating room for surgical repair of the Tetralogy of Fallot and side-to-side tracheobroncheoplasty. The patient was extubated on postoperative day 3 and was discharged home without need for any ventilatory support.Copyright © 2018. Published by Elsevier B.V.
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