Long-term outcome after external tracheal stabilization due to congenital tracheal instability

Background - Long-segment tracheobronchial malacia may cause life-threatening dysfunction of the airway system at different levels. This study presents the long-term follow-up (1992 through 2008) of patients who received surgical treatment with external tracheal stabilization in our institution. - M...

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Hauptverfasser: Ley, Sebastian (VerfasserIn) , Loukanov, Tsvetomir (VerfasserIn) , Ley-Zaporozhan, Julia (VerfasserIn) , Springer, Wolfgang (VerfasserIn) , Sebening, Christian (VerfasserIn) , Sommerburg, Olaf (VerfasserIn) , Hagl, Siegfried (VerfasserIn) , Gorenflo, Matthias (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 19 February 2010
In: The annals of thoracic surgery
Year: 2010, Jahrgang: 89, Heft: 3, Pages: 918-925
ISSN:1552-6259
DOI:10.1016/j.athoracsur.2009.11.066
Online-Zugang:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1016/j.athoracsur.2009.11.066
Verlag, lizenzpflichtig, Volltext: https://www.sciencedirect.com/science/article/pii/S0003497509023984
Volltext
Verfasserangaben:Sebastian Ley, Tsvetomir Loukanov, Julia Ley-Zaporozhan, Wolfgang Springer, Christian Sebening, Olaf Sommerburg, Siegfried Hagl, and Matthias Gorenflo

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520 |a Background - Long-segment tracheobronchial malacia may cause life-threatening dysfunction of the airway system at different levels. This study presents the long-term follow-up (1992 through 2008) of patients who received surgical treatment with external tracheal stabilization in our institution. - Methods - Eleven patients fulfilled the inclusion criteria. In surviving patients who presented for reexamination, pulmonary function testing, ergometry, and magnetic resonance imaging (MRI) were performed. - Results - All patients could be weaned from the ventilator and discharged. Patients were aged a median 11 months (range, 3 to 48 months) at operation for tracheal compression. Age at follow-up was 9.1 years (range, 0.5 to 16.3 years). Median follow-up was 7.3 years (range, 0.1 to 15.1 years). Postoperatively, 1 patient was lost to follow-up, and 4 died at 2.6 years (range, 0.5 to 6.6 years) of comorbidities. Pulmonary function testing showed a moderate residual airflow restriction, with maximal vital capacity at 75% of normal (range, 45% to 92%). Treadmill exercise testing demonstrated 70% to 89% of the expected normal values for age. Magnetic resonance imaging examination confirmed tracheal patency, but the lumen of the left main bronchus in 2 patients was 50% smaller than on the right. Diaphragmatic motion was normal in all patients. - Conclusions - Children with congenital tracheal stenosis benefit from external tracheal stabilization. Survival in patients after external tracheal stabilization is significantly influenced by concomitant conditions. 
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