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Successful treatment of tracheomalacia associated with esophageal atresia without a tracheoesophageal fistula by aortopexy: Report of a case
Authors:Seiya Kikuchi  Ryuji Kashino  Toshinori Hirama  Hisashi Kobayashi  Tomio Abe
Institution:(1) Department of Thoracic and Cardiovascular Surgery, Sapporo Medical University School of Medicine, South 1, West 16, Chuo-ku, Sapporo 060, Japan;(2) Department of Cardiovascular Surgery, Hokkaido Children's Hospital and Medical Center, 1-10-1 Zenibako, 047-02 Otaru, Japan;(3) Department of Surgery, Hokkaido Children's Hospital and Medical Center, 1-10-1 Zenibako, 047-02 Otaru, Japan
Abstract:Tracheomalacia (TM) is well known as a complication associated with esophageal atresia (EA) and tracheoesophageal fistula (TEF); however, the occurrence of TM requiring surgical treatment in a patient having EA without a tracheoesophageal fistula has never been reported. We describe herein a rare case of TM associated with EA without TEF. Respiratory distress was caused by compression of the trachea by a severely dilated upper esophageal pouch with weakness of the tracheal wall. Aortopexy was performed, and an excellent postoperative result was achieved.
Keywords:tracheomalacia  esophageal atresia  tracheoesophageal fistula  aortopexy  innominate artery suspension
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