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首页> 外文期刊>Journal of cardiac surgery. >Autopericardial patch tracheoplasty for tracheal stenosis after arterial switch operation.
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Autopericardial patch tracheoplasty for tracheal stenosis after arterial switch operation.

机译：自心膜修补气管成形术治疗动脉切换手术后的气管狭窄。

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摘要

Though congenital tracheal stenosis in infants with congenital heart disease is uncommon, congestive heart failure is often deteriorated by respiratory symptoms. We report an infant having a diagnosis of congenital tracheal stenosis complicated with congenital heart disease who underwent pericardial patch tracheoplasty after the arterial switch operation for the transposition of the great arteries. External appearance of the trachea showed no stenosis and tracheal rings were well formed. Intraoperative bronchofiberscopy transilluminated the upper border of stenosis. The trachea was opened longitudinally to the extent of 30 mm to the point from 10 mm point proximal to the bifurcation. The incision was enlarged with the autologous pericardial patch using running absorbable suture. Then pericardial patch was anchored at several points to the posterior surface of the ascending aorta, innominate artery, and to the strap muscles of the neck. He is doing well now without any respiratory symptom.
机译：尽管患有先天性心脏病的婴儿先天性气管狭窄并不常见，但充血性心力衰竭通常会因呼吸道症状而恶化。我们报告了一名诊断为先天性气管狭窄并发先天性心脏病的婴儿，在进行大动脉移位手术后进行了心包膜气管成形术。气管外观无狭窄，气管环形成良好。术中纤维支气管镜检查透亮了狭窄的上边界。气管纵向开放至距离分叉近端10毫米点的30毫米。使用可吸收的缝合线通过自体心包膜扩大切口。然后，将心包膜片固定在升主动脉的后表面，无名的动脉以及颈部的束带肌肉的几个点上。他现在状况良好，没有任何呼吸道症状。

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