PMID- 36905432
OWN - NLM
STAT- Publisher
LR  - 20230311
IS  - 1432-1971 (Electronic)
IS  - 0172-0643 (Linking)
DP  - 2023 Mar 11
TI  - Clinical Experience with 30 Bridging Bronchus Patients with Airway Stenosis and 
      Congenital Heart Disease.
LID - 10.1007/s00246-023-03118-9 [doi]
AB  - The indications and surgical techniques for airway stenosis (AS) repair among 
      patients with bridging bronchus (BB) and congenital heart disease (CHD) have not 
      been fully established. We sought to provide our experience with 
      tracheobronchoplasty in a large series of BB patients with AS and CHD. Eligible 
      patients were retrospectively enrolled from June 2013 to December 2017 and were 
      followed up to December 2021. Epidemiological, demographic, clinical, imaging, 
      surgical management, and outcome data were obtained. 5 tracheobronchoplasty 
      techniques including 2 novel modified ones were performed. We included 30 BB 
      patients with AS and CHD. Tracheobronchoplasty was indicated in them. 27 (90%) 
      patients underwent tracheobronchoplasty. But 3 (10%) refused AS repair. 4 
      subtypes of the BB and 5 main sites of AS were identified. 6 (22.2%) cases, 
      including one death, had severe postoperative complications associated with being 
      underweight at surgery, preoperative mechanical ventilation, and more types of 
      CHD. 3 cases were lost to follow-up. 18 (78.3%) of the survivors remained 
      asymptomatic, and 5 (21.7%) had stridor, wheezing, or polypnea after exercise. 2 
      patients out of the three who did not undergo airway surgery died, and the one 
      survivor had a poor quality of life. Good outcomes can be achieved in BB patients 
      with AS and CHD who undergo proper tracheobronchoplasty techniques guided by 
      specified criteria, but severe postoperative complications should be well 
      managed.
CI  - (c) 2023. The Author(s), under exclusive licence to Springer Science+Business 
      Media, LLC, part of Springer Nature.
FAU - Chen, Jiande
AU  - Chen J
AD  - Department of Respiratory Medicine, Shanghai Children's Medical Center, School of 
      Medicine, Shanghai Jiao Tong University, Shanghai, China.
FAU - Lu, Lingya
AU  - Lu L
AD  - Department of Pediatrics, Ningbo Hangzhou Bay Hospital, Ningbo, Zhejiang, China.
FAU - Yin, Yong
AU  - Yin Y
AD  - Department of Respiratory Medicine, Shanghai Children's Medical Center, School of 
      Medicine, Shanghai Jiao Tong University, Shanghai, China.
FAU - Yuan, Shuhua
AU  - Yuan S
AD  - Department of Respiratory Medicine, Shanghai Children's Medical Center, School of 
      Medicine, Shanghai Jiao Tong University, Shanghai, China.
FAU - Zhang, Jing
AU  - Zhang J
AD  - Department of Respiratory Medicine, Shanghai Children's Medical Center, School of 
      Medicine, Shanghai Jiao Tong University, Shanghai, China.
FAU - Wu, Jinhong
AU  - Wu J
AD  - Department of Respiratory Medicine, Shanghai Children's Medical Center, School of 
      Medicine, Shanghai Jiao Tong University, Shanghai, China.
FAU - Tang, Mingyu
AU  - Tang M
AD  - Department of Respiratory Medicine, Shanghai Children's Medical Center, School of 
      Medicine, Shanghai Jiao Tong University, Shanghai, China.
FAU - Chen, Hao
AU  - Chen H
AD  - Department of Cardiac and Thoracic Surgery, Shanghai Children's Medical Center, 
      School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
FAU - Wang, Shunmin
AU  - Wang S
AD  - Department of Cardiac and Thoracic Surgery, Shanghai Children's Medical Center, 
      School of Medicine, Shanghai Jiao Tong University, Shanghai, China. 
      wangshunmin@scmc.com.cn.
FAU - Zhang, Lei
AU  - Zhang L
AD  - Department of Respiratory Medicine, Shanghai Children's Medical Center, School of 
      Medicine, Shanghai Jiao Tong University, Shanghai, China. scmc_zhang@163.com.
LA  - eng
GR  - PKJ2019-Y10/Science and Technology Development Fund of Shanghai Pudong/
PT  - Journal Article
DEP - 20230311
PL  - United States
TA  - Pediatr Cardiol
JT  - Pediatric cardiology
JID - 8003849
SB  - IM
OTO - NOTNLM
OT  - Airway stenosis
OT  - Bridging bronchus
OT  - Congenital heart disease
OT  - Tracheobronchoplasty
EDAT- 2023/03/12 06:00
MHDA- 2023/03/12 06:00
CRDT- 2023/03/11 11:13
PHST- 2022/12/07 00:00 [received]
PHST- 2023/01/27 00:00 [accepted]
PHST- 2023/03/11 11:13 [entrez]
PHST- 2023/03/12 06:00 [pubmed]
PHST- 2023/03/12 06:00 [medline]
AID - 10.1007/s00246-023-03118-9 [pii]
AID - 10.1007/s00246-023-03118-9 [doi]
PST - aheadofprint
SO  - Pediatr Cardiol. 2023 Mar 11. doi: 10.1007/s00246-023-03118-9.