Sliding tracheoplasty: a good choice for the treatment of congenital tracheal stenosis.
Autor(a) principal: | |
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Data de Publicação: | 2004 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1080 |
Resumo: | When infants with recurrent wheezing have a clinical course inconsistent with a common diagnosis, anatomic malformations should be considered in diagnostic workup, followed by medical stabilization and early therapy. A careful history and physical examination could reveal important diagnostic clues that indicate the need to perform a fiberoptic bronchoscopy, which in the reported case showed tracheal stenosis in the transition between the first and second third of the trachea. Chest CT scan revealed a long funnel-shaped tracheal stenosis and along with an echocardiogram, excluded associated cardiovascular malformations. Surgical correction by sliding tracheoplasty under extra-corporeal circulation was successfully performed at the Hospital Gregório Marañon in Madrid. The surgical complications that have occurred (mediastinitis and pulmonary embolism) were resolved. After a two-year follow-up, that included endoscopic control, the patient was found to be free of symptoms of wheezing or post-surgical complications. The authors emphasize the need for early diagnosis and surgical treatment to be performed in an experienced reference center. |
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Sliding tracheoplasty: a good choice for the treatment of congenital tracheal stenosis.Traqueoplastia de deslizamento. Uma boa opção na correcção da estenose congénita da traqueia.When infants with recurrent wheezing have a clinical course inconsistent with a common diagnosis, anatomic malformations should be considered in diagnostic workup, followed by medical stabilization and early therapy. A careful history and physical examination could reveal important diagnostic clues that indicate the need to perform a fiberoptic bronchoscopy, which in the reported case showed tracheal stenosis in the transition between the first and second third of the trachea. Chest CT scan revealed a long funnel-shaped tracheal stenosis and along with an echocardiogram, excluded associated cardiovascular malformations. Surgical correction by sliding tracheoplasty under extra-corporeal circulation was successfully performed at the Hospital Gregório Marañon in Madrid. The surgical complications that have occurred (mediastinitis and pulmonary embolism) were resolved. After a two-year follow-up, that included endoscopic control, the patient was found to be free of symptoms of wheezing or post-surgical complications. The authors emphasize the need for early diagnosis and surgical treatment to be performed in an experienced reference center.When infants with recurrent wheezing have a clinical course inconsistent with a common diagnosis, anatomic malformations should be considered in diagnostic workup, followed by medical stabilization and early therapy. A careful history and physical examination could reveal important diagnostic clues that indicate the need to perform a fiberoptic bronchoscopy, which in the reported case showed tracheal stenosis in the transition between the first and second third of the trachea. Chest CT scan revealed a long funnel-shaped tracheal stenosis and along with an echocardiogram, excluded associated cardiovascular malformations. Surgical correction by sliding tracheoplasty under extra-corporeal circulation was successfully performed at the Hospital Gregório Marañon in Madrid. The surgical complications that have occurred (mediastinitis and pulmonary embolism) were resolved. After a two-year follow-up, that included endoscopic control, the patient was found to be free of symptoms of wheezing or post-surgical complications. The authors emphasize the need for early diagnosis and surgical treatment to be performed in an experienced reference center.Ordem dos Médicos2004-07-31info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1080oai:ojs.www.actamedicaportuguesa.com:article/1080Acta Médica Portuguesa; Vol. 17 No. 3 (2004): May-June; 247-52Acta Médica Portuguesa; Vol. 17 N.º 3 (2004): Maio-Junho; 247-521646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1080https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1080/745Graça, AndréLucas, MafaldaPereira, LuísaBarreto, CelesteLobo, LuísaGonçalves, MiroslavaMatute, JoséBandeira, Teresainfo:eu-repo/semantics/openAccess2022-12-20T10:57:25Zoai:ojs.www.actamedicaportuguesa.com:article/1080Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:16:56.948109Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Sliding tracheoplasty: a good choice for the treatment of congenital tracheal stenosis. Traqueoplastia de deslizamento. Uma boa opção na correcção da estenose congénita da traqueia. |
title |
Sliding tracheoplasty: a good choice for the treatment of congenital tracheal stenosis. |
spellingShingle |
Sliding tracheoplasty: a good choice for the treatment of congenital tracheal stenosis. Graça, André |
title_short |
Sliding tracheoplasty: a good choice for the treatment of congenital tracheal stenosis. |
title_full |
Sliding tracheoplasty: a good choice for the treatment of congenital tracheal stenosis. |
title_fullStr |
Sliding tracheoplasty: a good choice for the treatment of congenital tracheal stenosis. |
title_full_unstemmed |
Sliding tracheoplasty: a good choice for the treatment of congenital tracheal stenosis. |
title_sort |
Sliding tracheoplasty: a good choice for the treatment of congenital tracheal stenosis. |
author |
Graça, André |
author_facet |
Graça, André Lucas, Mafalda Pereira, Luísa Barreto, Celeste Lobo, Luísa Gonçalves, Miroslava Matute, José Bandeira, Teresa |
author_role |
author |
author2 |
Lucas, Mafalda Pereira, Luísa Barreto, Celeste Lobo, Luísa Gonçalves, Miroslava Matute, José Bandeira, Teresa |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Graça, André Lucas, Mafalda Pereira, Luísa Barreto, Celeste Lobo, Luísa Gonçalves, Miroslava Matute, José Bandeira, Teresa |
description |
When infants with recurrent wheezing have a clinical course inconsistent with a common diagnosis, anatomic malformations should be considered in diagnostic workup, followed by medical stabilization and early therapy. A careful history and physical examination could reveal important diagnostic clues that indicate the need to perform a fiberoptic bronchoscopy, which in the reported case showed tracheal stenosis in the transition between the first and second third of the trachea. Chest CT scan revealed a long funnel-shaped tracheal stenosis and along with an echocardiogram, excluded associated cardiovascular malformations. Surgical correction by sliding tracheoplasty under extra-corporeal circulation was successfully performed at the Hospital Gregório Marañon in Madrid. The surgical complications that have occurred (mediastinitis and pulmonary embolism) were resolved. After a two-year follow-up, that included endoscopic control, the patient was found to be free of symptoms of wheezing or post-surgical complications. The authors emphasize the need for early diagnosis and surgical treatment to be performed in an experienced reference center. |
publishDate |
2004 |
dc.date.none.fl_str_mv |
2004-07-31 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1080 oai:ojs.www.actamedicaportuguesa.com:article/1080 |
url |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1080 |
identifier_str_mv |
oai:ojs.www.actamedicaportuguesa.com:article/1080 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1080 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1080/745 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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application/pdf |
dc.publisher.none.fl_str_mv |
Ordem dos Médicos |
publisher.none.fl_str_mv |
Ordem dos Médicos |
dc.source.none.fl_str_mv |
Acta Médica Portuguesa; Vol. 17 No. 3 (2004): May-June; 247-52 Acta Médica Portuguesa; Vol. 17 N.º 3 (2004): Maio-Junho; 247-52 1646-0758 0870-399X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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