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Thoracoscopic aortopexy for tracheomalacia in pediatric patients
Chapter 1 of 4
Case introduction
Case series introduction and imaging findings
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Host summaries · secondary, not cited in answers
Educational content from recorded physician discussions — not medical advice. Talk to your (or your child's) care team about your situation.
Video
QUAD #1: Cervical Tracheopexy with Dr. Alessandro de Alarcon
Dr. Todd Ponsky · 5 min · Published Dec 2023
Video
Tracheomalacia and tracheomegaly in infants and children with congenital diaphragmatic hernia managed with and without fetoscopic endoluminal tracheal occlusion (FETO): a multicentre, retrospective cohort study
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QUAD #2 Thoracoscopic Tracheopexy with Dr. Aaron Garrison
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What the experts said
Three pediatric cases of tracheomalacia were reported.
CT imaging demonstrated vascular compression in these cases.
Endoscopy demonstrated tracheomalacia in the pediatric patients.
The thymus is manipulated to expose the emergence of the brachiocephalic vessels.
Gentle manipulation of vessels is required, avoiding abrupt traction.
The first suture is placed on the proximal portion of the aorta.
Sutures are placed carefully on the aorta to avoid the coronary ostia and prevent cardiac complications.
Intraoperative endoscopy was used to assess the airway.
The aorta was elevated in the postoperative period.
No complications were reported in the case series.