التفاصيل البيبلوغرافية
| العنوان: |
An imaging study on tracheomalacia in infants with esophageal atresia: the degree of tracheal compression by the brachiocephalic artery is a good indicator for therapeutic intervention. |
| المؤلفون: |
Sumida, Wataru, Tainaka, Takahisa, Shirota, Chiyoe, Yokota, Kazuki, Makita, Satoshi, Takimoto, Aitaro, Yasui, Akihiro, Okamoto, Masamune, Nakagawa, Yoichi, Hinoki, Akinari, Uchida, Hiroo |
| المصدر: |
Pediatric Surgery International; Dec2021, Vol. 37 Issue 12, p1719-1724, 6p |
| مصطلحات موضوعية: |
BRACHIOCEPHALIC trunk, ESOPHAGEAL atresia, COMPUTED tomography, DIAGNOSTIC imaging, INFANTS |
| مستخلص: |
Purpose: Tracheomalacia (TM) is a frequent complication after esophageal atresia (EA) repair. This study aimed to review patients who underwent aortopexy for TM after EA repair and to compare their imaging features. Methods: The patients who underwent thoracoscopic EA repair and contrast-enhanced computed tomography (CECT) at our hospital between 2013 and 2020 were retrospectively reviewed. The ratio of the lateral and anterior–posterior diameter of the trachea (LAR) where the brachiocephalic artery (BCA) crosses the trachea was defined. The LAR of the patients who underwent CECT for asymptomatic pulmonary disease was set as a normal reference. The Z-score of each LAR was calculated and compared between the patients that did or did not undergo aortopexy. Results: A total of 51 patients represented the controls, 5 patients underwent aortopexy, and 12 patients were discharged without surgery. The mean LARs in the patients who underwent aortopexy, did not undergo aortopexy, and controls were 3.54, 1.54, and 1.15, respectively. The mean Z-score of the aortopexy group was 21.2. After successful aortopexy, each patient's LAR decreased to < 1.5. Conclusion: Aortopexy was preferred if the trachea was compressed by the BCA. The LAR is a useful indicator for predicting the therapeutic effect of aortopexy. [ABSTRACT FROM AUTHOR] |
|
Copyright of Pediatric Surgery International is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) |
| قاعدة البيانات: |
Complementary Index |
