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A technique for thoracoscopic aortopericardiosternopexy.

机译:胸腔镜下腹主动脉瓣肥大的一种技术。

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BACKGROUND: A left thoracotomy is the standard access for aortosternopexy in severe tracheomalacia. We report a modified technique for thoracoscopic aortopericardiosternopexy. METHODS: The thymus is mobilized, and the needle is passed through the sternum and back. In extensive or recurrent tracheomalacia, not only the ascending aorta but also the innominate artery and pericardial base are fixed to the sternum. The effect is monitored bronchoscopically. RESULTS: This technique showed dramatic success in two children, one 4-year-old and a 2-year-old. In the younger child, the thoracoscopy was a redo procedure after a previous open aortosternopexy. CONCLUSIONS: Thoracoscopic aortopericardiosternopexy is an effective procedure that does not impair postoperative respiration. It should therefore be considered for severe tracheomalacia or even redo operations.
机译:背景:左胸腔切开术是严重气管软化症中主动脉粥样硬化的标准途径。我们报告一种改良的技术用于胸腔镜心动过速。方法:胸腺动员,针头穿过胸骨并返回。在广泛或反复发生的气管软化症中,不仅升主动脉而且无名的动脉和心包基底也固定在胸骨上。通过支气管镜监测效果。结果:这项技术在两个孩子中表现出了巨大的成功,一个4岁,一个2岁。对于年幼的孩子,在先前开放的主动脉粥样硬化后再次进行胸腔镜检查。结论:胸腔镜腹主动脉瓣肥大症是一种不损害术后呼吸的有效方法。因此,应考虑将其用于严重气管软化甚至重做手术。

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