Successful case report of congenital long-segment complex tracheal stenosis treated with sliding tracheoplasty associated with pulmonary artery vascular ring

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2024年7月29日

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Enrique R. Leal Cirerol,
Jose Mora Fol,
Carlos Max Luna Valdez,
David Arellano Osta,
Jorge Fonseca Nájera,
Jesús Monroy Ubaldo,
María Magdalena Ramírez González,
Valery Selene Valadez Guerrero,
Sofia Brenes Guzmán

摘要

Background

Congenital tracheal stenosis is a rare structural obstructive disorder affecting a segment of the trachea. It is often caused by complete or nearly complete cartilaginous rings narrowing the airway. Approximately 50% of cases are associated with abnormal left pulmonary artery rings.

Case presentation

We present the case of a 4-month-old female infant with complex congenital tracheal stenosis associated with a left pulmonary artery vascular ring and congenital heart disease. The patient underwent successful surgical intervention involving repair of the congenital heart defect and reimplantation of the pulmonary artery, followed by sliding tracheoplasty in one surgery procedure. Postoperative outcomes were favorable, with successful extubating and resolution of respiratory symptoms.

Conclusions

Sliding tracheoplasty proved an effective treatment option in this complex case, highlighting its reproducibility and favorable outcomes in managing congenital tracheal stenosis.