Usefulness of intraoperative bronchoscopy during surgical repair of a congenital cardiac anomaly with possible airway obstruction: three cases report

Compression of the airway is relatively common in pediatric patients, although it is often an unrecognized complication of congenital cardiac and aortic arch anomalies. Aortopexy has been established as a surgical treatment for tracheobronchial obstruction associated with vascular anomaly, aortic ar...

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Main Authors: JongEun Oh, Jung-won Kim, Won-Jung Shin, Mijeung Gwak, Pyung Hwan Park
Format: Article
Language:English
Published: Korean Society of Anesthesiologists 2016-02-01
Series:Korean Journal of Anesthesiology
Subjects:
Online Access:http://ekja.org/upload/pdf/kjae-69-71.pdf
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author JongEun Oh
Jung-won Kim
Won-Jung Shin
Mijeung Gwak
Pyung Hwan Park
author_facet JongEun Oh
Jung-won Kim
Won-Jung Shin
Mijeung Gwak
Pyung Hwan Park
author_sort JongEun Oh
collection DOAJ
description Compression of the airway is relatively common in pediatric patients, although it is often an unrecognized complication of congenital cardiac and aortic arch anomalies. Aortopexy has been established as a surgical treatment for tracheobronchial obstruction associated with vascular anomaly, aortic arch anomaly, esophageal atresia, and tracheoesophageal fistula. The tissue-to-tissue arch repair technique could result in severe airway complication such as compression of the left main bronchus which was not a problem before the correction. We report three cases of corrective open heart surgery monitored by intraoperative bronchoscopy performed during prebypass, and performed immediately before weaning from bypass, to evaluate tracheobronchial obstruction caused by congenital, complex cardiac anomalies in the operating room.
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spelling doaj.art-765bf6da8e4248baaa2d2bbd8efaac4d2022-12-21T17:49:26ZengKorean Society of AnesthesiologistsKorean Journal of Anesthesiology2005-64192005-75632016-02-01691717510.4097/kjae.2016.69.1.718256Usefulness of intraoperative bronchoscopy during surgical repair of a congenital cardiac anomaly with possible airway obstruction: three cases reportJongEun Oh0Jung-won Kim1Won-Jung Shin2Mijeung Gwak3Pyung Hwan Park4Department of Anesthesiology and Pain Medicine, Asan Medical Center, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Asan Medical Center, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Asan Medical Center, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Asan Medical Center, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Asan Medical Center, Seoul, Korea.Compression of the airway is relatively common in pediatric patients, although it is often an unrecognized complication of congenital cardiac and aortic arch anomalies. Aortopexy has been established as a surgical treatment for tracheobronchial obstruction associated with vascular anomaly, aortic arch anomaly, esophageal atresia, and tracheoesophageal fistula. The tissue-to-tissue arch repair technique could result in severe airway complication such as compression of the left main bronchus which was not a problem before the correction. We report three cases of corrective open heart surgery monitored by intraoperative bronchoscopy performed during prebypass, and performed immediately before weaning from bypass, to evaluate tracheobronchial obstruction caused by congenital, complex cardiac anomalies in the operating room.http://ekja.org/upload/pdf/kjae-69-71.pdfairway obstructionaortic coarctationbroncoscopecoarctation of the aortacongenial heart disease
spellingShingle JongEun Oh
Jung-won Kim
Won-Jung Shin
Mijeung Gwak
Pyung Hwan Park
Usefulness of intraoperative bronchoscopy during surgical repair of a congenital cardiac anomaly with possible airway obstruction: three cases report
Korean Journal of Anesthesiology
airway obstruction
aortic coarctation
broncoscope
coarctation of the aorta
congenial heart disease
title Usefulness of intraoperative bronchoscopy during surgical repair of a congenital cardiac anomaly with possible airway obstruction: three cases report
title_full Usefulness of intraoperative bronchoscopy during surgical repair of a congenital cardiac anomaly with possible airway obstruction: three cases report
title_fullStr Usefulness of intraoperative bronchoscopy during surgical repair of a congenital cardiac anomaly with possible airway obstruction: three cases report
title_full_unstemmed Usefulness of intraoperative bronchoscopy during surgical repair of a congenital cardiac anomaly with possible airway obstruction: three cases report
title_short Usefulness of intraoperative bronchoscopy during surgical repair of a congenital cardiac anomaly with possible airway obstruction: three cases report
title_sort usefulness of intraoperative bronchoscopy during surgical repair of a congenital cardiac anomaly with possible airway obstruction three cases report
topic airway obstruction
aortic coarctation
broncoscope
coarctation of the aorta
congenial heart disease
url http://ekja.org/upload/pdf/kjae-69-71.pdf
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