Zhi Wei Xu1, Wei Hao Li. 1. Department of Cardiothoracic Surgery, Shanghai Children's Medical Center, School of Medicine, Shanghai Jiaotong University, No. 1678, Pudong New Area, Shanghai, China. zhiweixu1952@yahoo.cn
Abstract
OBJECTIVE: We describe our experience with patients undergoing one stage surgical correction of congenital cardiac disease and congenital tracheal stenosis. METHODS: Between February 2001 and June 2007, eight patients underwent one stage repair of congenital cardiac disease and congenital tracheal stenosis. Their ages ranged from 30 days to 3 years (mean 16.25 +/- 11.67 months) and weights from 4.2 to 10.5 kg (mean 8.24 +/- 2.16 kg). The congenital cardiac disease was treated during cardiopulmonary bypass, and the tracheal stenosis was corrected simultaneously. RESULTS: There was no operative mortality. One 4-month-old female who underwent polytetrafluroethylene patch tracheoplasty developed granulation tissue and died 3 months postoperatively of bronchial obstruction. The medium-term result of the remaining seven patients, after a mean follow-up of 50.4 months (range 9 to 76 months), was a stabile and complication-free clinical outcome. CONCLUSION: We advocate one stage surgical correction of congenital cardiac disease and congenital tracheal stenosis for the treatment of these conditions.
OBJECTIVE: We describe our experience with patients undergoing one stage surgical correction of congenital cardiac disease and congenital tracheal stenosis. METHODS: Between February 2001 and June 2007, eight patients underwent one stage repair of congenital cardiac disease and congenital tracheal stenosis. Their ages ranged from 30 days to 3 years (mean 16.25 +/- 11.67 months) and weights from 4.2 to 10.5 kg (mean 8.24 +/- 2.16 kg). The congenital cardiac disease was treated during cardiopulmonary bypass, and the tracheal stenosis was corrected simultaneously. RESULTS: There was no operative mortality. One 4-month-old female who underwent polytetrafluroethylene patch tracheoplasty developed granulation tissue and died 3 months postoperatively of bronchial obstruction. The medium-term result of the remaining seven patients, after a mean follow-up of 50.4 months (range 9 to 76 months), was a stabile and complication-free clinical outcome. CONCLUSION: We advocate one stage surgical correction of congenital cardiac disease and congenital tracheal stenosis for the treatment of these conditions.