Mauro Lo Rito, MD, Vikram Kudumula, MD, Tarak Desai, MD, Timothy J

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Presentation transcript:

Early Double Switch With Lecompte Maneuver for Life-Threatening Airway Obstruction Mauro Lo Rito, MD, Vikram Kudumula, MD, Tarak Desai, MD, Timothy J. Jones, MD, David J. Barron, MD, William J. Brawn, MD The Annals of Thoracic Surgery Volume 96, Issue 2, Pages 695-697 (August 2013) DOI: 10.1016/j.athoracsur.2012.11.060 Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Preoperative transthoracic echocardiogram. (A) Apical four-chamber view: big arrow indicates reverse offsetting of mitral valve; small arrow points to the tricuspid valve. (B) Asterisk is on the inlet ventricular septal defect. (C) Pulmonary valve has enlarged branches and turbulent flow. The Annals of Thoracic Surgery 2013 96, 695-697DOI: (10.1016/j.athoracsur.2012.11.060) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Laryngotracheobronchoscopy. (A) Preoperative airway compression seen at the carina and bronchial level. (B) Persisting compression with 30 mm Hg of positive pressure. (C) Laryngotracheobronchoscopy after surgery shows no airway compression. The Annals of Thoracic Surgery 2013 96, 695-697DOI: (10.1016/j.athoracsur.2012.11.060) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Chest computed tomography scan. (A) Black arrows indicate compression of the proximal right bronchus and proximal left bronchus by enlarged right pulmonary artery (*). (B) Posteroanterior view: white arrow points to the complete occlusion of the left bronchus and partial occlusion of right bronchus (three-dimensional reconstruction). The Annals of Thoracic Surgery 2013 96, 695-697DOI: (10.1016/j.athoracsur.2012.11.060) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions