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Use of a biodegradable, oversized stent in a child with tracheomalacia secondary to vascular external compression

Published online by Cambridge University Press:  30 August 2016

Giovanni Di Dedda  and
Cristian Mirabile
Giovanni Di Dedda
Affiliation:
Department of Anesthesia and Intensive Care, Fondazione Toscana G. Monasterio per la Ricerca Medica e di Sanità Pubblica CNR Regione Toscana, Massa, Italy Anesthesia and Intensive Care for Cardiac Surgery, Ospedale Papa Giovanni XXIII, Bergamo, Italy
Cristian Mirabile*
Affiliation:
Anesthesia and Intensive Care for Pediatric Cardiac Surgery, Hôpital Necker Enfants malades, Paris, France
*
Correspondence to: C. Mirabile, Bâtiment Laennec, 4e étage, Aille D, Anesthésie-Réanimation Chirurgie Cardiaque Pédiatrique (Unité), 149 rue de Sèvres, 75743, Paris Cedex 15, France. Tel: +33 1 71 70 24 98; Fax: +33 1 44 38 19 06; E-mail: cristian.mirabile@gmail.com
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Abstract

We describe the implantation of an absorbable, custom-made stent of polydioxanone to treat tracheomalacia in a 5-month-old patient with extrinsic compression by a double aortic arch. The use of an absorbable, oversized stent treated the tracheal collapse caused by vascular compression, avoided removal procedures, and allowed the infant’s growth. The use of an oversized stent prevented stent migration and gave minimal problems of granulation.

Keywords

Tracheomalaciaabsorbable stentbronchoscopy
Type
Brief Report
Information
Cardiology in the Young , Volume 27 , Issue 1 , January 2017 , pp. 196 - 198
Copyright
© Cambridge University Press 2016 

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References

1. Austin, J, Ali, T. Tracheomalacia and bronchomalacia in children: pathophysiology, assessment, treatment and anesthesia management. Paediatr Anaesth 2003; 13: 3–11.Google Scholar
2. Nicolai, T. Airway stents in children. Pediatr Pulmonol 2008; 43: 330–344.Google Scholar
3. Anton-Pacheco, JL, Cabezali, D, Tejedor, R, et al. The role of airway stenting in pediatric tracheobronchial obstruction. Eur J Cardiothorac Surg 2008; 33: 1069–1075.Google Scholar
4. Butler, CR, Speggiorin, S, Rijnberg, FM, et al. Outcomes of slide tracheoplasty in 101 children: a 17-year single-center experience. J Thorac Cardiovasc Surg 2014; 147: 1783–1790.Google Scholar
5. Antón-Pacheco, JL, Comas, JV, Luna, C, et al. Treatment strategies in the management of severe complications following slide tracheoplasty in children. Eur J Cardiothorac Surg. 2014; 46: 280–285.Google Scholar
6. Antόn-Pacheco, JL, Luna, C, Garcıa, E, et al. Initial experience with a new biodegradable airway stent in children: is this the stent we were waiting for? Pediatr Pulmonol 2016; Jun (6): 607–612.CrossRefGoogle Scholar
7. Grillo, HC. Anatomy of the trachea. In: Grillo HC, (ed.) Surgery of Trachea and Bronchi. BC Decker Inc. Hamilton, London, 2004: 39–59.Google Scholar
8. Vondrys, D, Elliott, MJ, McLaren, CA, Noctor, C, Roebuck, DJ. Experience with biodegradable airway stents in children. Ann Thorac Surg 2011; 92: 1870–1874.Google Scholar