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Cirugía y cirujanos
versión On-line ISSN 2444-054Xversión impresa ISSN 0009-7411
Resumen
GARCIA-HERNANDEZ, Carlos; CARVAJAL-FIGUEROA, Lourdes; ARCHIVALDO-GARCIA, Cristian y CALDERON-ALIPI, César M.. Thoracoscopic aortopexy to treat severe tracheomalacia in children. Cases report. Cir. cir. [online]. 2019, vol.87, n.6, pp.636-639. Epub 22-Nov-2021. ISSN 2444-054X. https://doi.org/10.24875/ciru.19000783.
Objective:
To present our experience in the treatment of the severe tracheomalacia by thoracoscopic approach, as well as its diagnostic methodology, surgical technique, post-operatory evolution and complications.
Clinical cases:
From 2016 to 2017, three patients, 3, 9 and 12 months old, were treated. They showed multiple near sudden death events and had an absolute dependence to assisted ventilation. Pre-operatory bronchoscopy evinced tracheal severe malacia. Thoracic angiotomography discarded other extrinsic tracheal compression causes. A left thoracoscopic aortopexy was practiced with a bronchoscopical trans-operatory control; with improvement in tracheal space. Just one patient is still awaiting cannula removal, without symptomatology recurrence in a 3-20 months follow up.
Conclusions:
The thoracoscopic aortopexy is a safe and effective technique to treat primary and severe tracheomalacia in children.
Palabras llave : Aortopexy; Thoracoscopy; Tracheomalacia.
