Thoracoscopic Aortopexy by, Dr. Carlos Garcia Hernandez

Thoracoscopic orthopexy for the treatment of severe trachemallays in children. Sevitracker Malaysia presents a challenge. There are different approaches, but the minimal invasive option is only used in 1.3% of the reported cases. We treated three patients between 3 and 12 months of age. Where patients manifested primary malaysia with multiple life-threatening events. Vascular anomalies and extrinsic comprehension were discarded. The endoscopy demonstrated the severity of the malaysia as it can be seen. This was solved by fixing the aorta to the sternum in order to traction the anterior section of the sternum. The latter included using a left base approach with arm elevation and discrete thoracic elevation. Trocker placement locations were identified along with the sternum. The thigh and the phrenic nerve were identified. Pietal pulverizing sites in order to commence the dissection. The thym is retracted to expose the aorta. Releasing the anterior section of the thigh and retracting it. Until the ascendant aorta is exposed to the origin of the brachiocephalic trunk, as we can see in the superior section of the thorax. A percutaneous needle indicates the optimal location for the sutures. And we proceed to place the first suture in the origin of the brachycephalic trunk. We must be careful to avoid any perforation or arterial twisting. Another clause is introduced via the sternum. In order to recover the proximal section. And the suture distal continues a soft traction. Replace another suture that should include the aortic wall in the ascendant aorta. Without perforating the laker. A 3rd suture is placed softly within the aortic origin, avoiding coronary damage. Once the 3 switchers are placed. The pneumothorax is removed and these are simultaneously pulled. In order to softly knot the sternum. The transoperatory endoscopy before the knot shows a severe malaysia. Which upon fixing the latter to the sternum disappears. This is verified one month after surgery. Without complications, bleeding, or conversion. Improvement in follow up until a year and a half without further symptomatology. All without assisted ventilation and 2 without tracheostomy. Lararoscopic arthopex is a safe and effective technique for the treatment of severe malaysia.