Presentation is loading. Please wait.

Presentation is loading. Please wait.

Surgical Treatment of Pulmonary Artery Sling and Tracheal Stenosis

Similar presentations


Presentation on theme: "Surgical Treatment of Pulmonary Artery Sling and Tracheal Stenosis"— Presentation transcript:

1 Surgical Treatment of Pulmonary Artery Sling and Tracheal Stenosis
Andrew C. Fiore, MD, John W. Brown, MD, Thomas R. Weber, MD, Mark W. Turrentine, MD  The Annals of Thoracic Surgery  Volume 79, Issue 1, Pages (January 2005) DOI: /j.athoracsur Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 The anomalous left pulmonary artery (LPA) is seen arising from the right pulmonary artery (RPA) and coursing between the esophagus and the trachea. Associated trachea stenosis and the ductus arteriosus are illustrated. (MPA = main pulmonary artery.) The Annals of Thoracic Surgery  , 38-46DOI: ( /j.athoracsur ) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 The ductus arteriosus is divided and the anomalous left pulmonary artery (LPA) is detached from the right pulmonary artery (RPA) and reimplanted into the main pulmonary artery (MPA) using absorbable suture. The Annals of Thoracic Surgery  , 38-46DOI: ( /j.athoracsur ) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Autologous pericardial patch tracheoplasty. The pericardial patch is secured to the trachea using continuous absorbable suture avoiding the tracheal mucosa. The Annals of Thoracic Surgery  , 38-46DOI: ( /j.athoracsur ) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 Slide tracheoplasty. (A) The trachea is divided and the most stenotic segment is excised. (B) The proximal and distal limbs are opened and spatulated as illustrated. The arrows represent the technique of sliding the proximal and distal trachea segments over each other. (C) The spatulated end-to-end anastomosis is performed with interrupted absorbable suture taking bites to avoid the mucosa (see inset). The Annals of Thoracic Surgery  , 38-46DOI: ( /j.athoracsur ) Copyright © 2005 The Society of Thoracic Surgeons Terms and Conditions


Download ppt "Surgical Treatment of Pulmonary Artery Sling and Tracheal Stenosis"

Similar presentations


Ads by Google