Tracheopexy and aortopexy for circumflex aortic arch on a small infant

Abstract

Circumflex aortic arch is a rare vascular ring anomaly, which is often associated with tracheobronchomalacia. Aortic uncrossing is the definitive repair of this condition, which is a major high-risk operation; therefore, it is not suitable for small patients such as newborn infants or individuals who have severe comorbidities. We present a case of the circumflex aortic arch with tracheobronchomalacia in a 2.7-kg infant who underwent successful innovative combined surgery of the airway and the aorta.

Keywords

Vascular ring circumflex aortic arch aortic arch anomaly tracheobronchomalacia tracheopexy aortopexy

Get full access to this article

View all access options for this article.

References

Haranal

Srimurugan

Sivalingam

. Circumflex aorta: an uncharted territory. Asian Cardiovasc Thorac Ann 2021; 30: 1–9.

Backer

Mongé

Popescu

, et al. Vascular rings. Semin Pediatr Surg 2016; 25: 165–175.

Choi

Lawlor

Rahbar

, et al. Diagnosis, classification, and management of pediatric tracheobronchomalacia: a review. JAMA Otolaryngol Head Neck Surg 2019; 145: 265–275.

Shieh

Smithers

Hamilton

, et al. Posterior tracheopexy for severe tracheomalacia. J Pediatr Surg 2017; 52: 951–955.

Svetanoff

Zendejas

Smithers

, et al. Great vessel anomalies and their impact on the surgical treatment of tracheobronchomalacia. J Pediatr Surg 2020; 55: 1302–1308.

Donnelly

Bisset

McDermott

. Anomalous midline location of the descending aorta: a cause of compression of the carina and left mainstem bronchus in infants. Am J Roentgenol 1995; 164: 705–707.

Baird

Prabhu

Buchmiller

, et al. Direct tracheobronchopexy and posterior descending aortopexy for severe left mainstem bronchomalacia associated with congenital pulmonary airway malformation and left circumflex aortic arch. Ann Thorac Surg 2016; 102: e1–e4.

Kamran

Friedman

Jennings

, et al. Aortic uncrossing and tracheobronchopexy corrects tracheal compression and tracheobronchomalacia associated with circumflex aortic arch. J Thorac Cardiovasc Surg 2020; 160: 796–804.

Supplementary Material

Please find the following supplemental material available below.

For Open Access articles published under a Creative Commons License, all supplemental material carries the same license as the article it is associated with.

For non-Open Access articles published, all supplemental material carries a non-exclusive license, and permission requests for re-use of supplemental material or any part of supplemental material shall be sent directly to the copyright owner as specified in the copyright notice associated with the article.

0.00 MB