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Interact CardioVasc Thorac Surg 2006;5:599-601. doi:10.1510/icvts.2006.132530
© 2006 European Association of Cardio-Thoracic Surgery
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Takahiko Sakamoto
Hiromi Kurosawa
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Right arrow Trachea and bronchi
Right arrow Congenital - cyanotic

Negative results - Congenital

Successful extracardiac total cavo pulmonary connection (TCPC) after external tracheobronchial stenting for tracheobronchomalacia

Shizuko Iwasaa,*, Toshiharu Shin'okaa, Takahiko Sakamotoa, Yuzo Nagaseb, Hisaya Hasegawac and Hiromi Kurosawaa

a Department of Cardiovascular Surgery, The Heart Institute of Japan, Tokyo Women's Medical University, 8-1 Kawada-cho, Shinjuku-ku, Tokyo 162-8666, Japan
b Division of Cardiovascular Surgery, Matsudo Municipal Hospital, Chiba, Japan
c Division of Neonatology, Matsudo Municipal Hospital, Chiba, Japan

*Corresponding author.

E-mail address: berry{at}mui.biglobe.ne.jp (S. Iwasa).

Objective: A girl who was diagnosed with cyanotic congenital heart disease in a newborn, showed anoxic spell attacks which we thought were correlated with the congenital heart disease. Although she underwent the palliative operation at 8 months old and her SpO2 was increased, she experienced severe and life-threatening respiratory dysfunction many times after that. After careful examinations, the respiratory complaint was proved to be not only due to cyanotic congenital heart disease but also tracheobronchomalacia. Method: She had undergone the external stenting to the trachea and right bronchus at 1 year old. After that, she was examined by cardiac catheterization and the Fontan-type operation was successful using a tissue-engineered graft at 2 years old. Results: Her post-operative course was uneventful and she was discharged. Conclusion: It is very important to remember the possible existence of tracheobronchomalacia and prevent a life-threatening attack when congenital cardiac patients experience a prolonged respiratory failure or abnormal respiration.

Key Words: Tracheobronchomalacia; External stenting; TCPC

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