Bronchial decompression following repair of absent pulmonary valve: Fine-tuning by procedural fiberoptic bronchoscopy

Marked aneurysmal dilation of the central and branch pulmonary arteries in utero in patients with tetralogy of Fallot with absent pulmonary valve can often exhibit extrinsic compression of the trachea and bronchi. The major morbidity in these patients remains postoperative ventilation issues. This c...

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Main Authors: Madan M Maddali, Hamood N Al-Kindi, Pranav S Kandachar, Amr Abolwafa, Ahmed E Ahmed
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2021-01-01
Series:Annals of Cardiac Anaesthesia
Subjects:
Online Access:http://www.annals.in/article.asp?issn=0971-9784;year=2021;volume=24;issue=3;spage=396;epage=398;aulast=Maddali
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author Madan M Maddali
Hamood N Al-Kindi
Pranav S Kandachar
Amr Abolwafa
Ahmed E Ahmed
author_facet Madan M Maddali
Hamood N Al-Kindi
Pranav S Kandachar
Amr Abolwafa
Ahmed E Ahmed
author_sort Madan M Maddali
collection DOAJ
description Marked aneurysmal dilation of the central and branch pulmonary arteries in utero in patients with tetralogy of Fallot with absent pulmonary valve can often exhibit extrinsic compression of the trachea and bronchi. The major morbidity in these patients remains postoperative ventilation issues. This case report highlights the role of intraoperative bronchoscopy in providing guidance for obtaining optimal bronchial decompression that was achieved by an initial pulmonary arteriopexy followed by an aortopexy.
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spelling doaj.art-b96099677f7e4470b737bdb1805090b22022-12-21T22:45:24ZengWolters Kluwer Medknow PublicationsAnnals of Cardiac Anaesthesia0971-97842021-01-0124339639810.4103/aca.ACA_203_20Bronchial decompression following repair of absent pulmonary valve: Fine-tuning by procedural fiberoptic bronchoscopyMadan M MaddaliHamood N Al-KindiPranav S KandacharAmr AbolwafaAhmed E AhmedMarked aneurysmal dilation of the central and branch pulmonary arteries in utero in patients with tetralogy of Fallot with absent pulmonary valve can often exhibit extrinsic compression of the trachea and bronchi. The major morbidity in these patients remains postoperative ventilation issues. This case report highlights the role of intraoperative bronchoscopy in providing guidance for obtaining optimal bronchial decompression that was achieved by an initial pulmonary arteriopexy followed by an aortopexy.http://www.annals.in/article.asp?issn=0971-9784;year=2021;volume=24;issue=3;spage=396;epage=398;aulast=Maddaliairway managementbronchoscopycongenital heart diseaseinfant pulmonary valve insufficiencytetralogy of fallot
spellingShingle Madan M Maddali
Hamood N Al-Kindi
Pranav S Kandachar
Amr Abolwafa
Ahmed E Ahmed
Bronchial decompression following repair of absent pulmonary valve: Fine-tuning by procedural fiberoptic bronchoscopy
Annals of Cardiac Anaesthesia
airway management
bronchoscopy
congenital heart disease
infant pulmonary valve insufficiency
tetralogy of fallot
title Bronchial decompression following repair of absent pulmonary valve: Fine-tuning by procedural fiberoptic bronchoscopy
title_full Bronchial decompression following repair of absent pulmonary valve: Fine-tuning by procedural fiberoptic bronchoscopy
title_fullStr Bronchial decompression following repair of absent pulmonary valve: Fine-tuning by procedural fiberoptic bronchoscopy
title_full_unstemmed Bronchial decompression following repair of absent pulmonary valve: Fine-tuning by procedural fiberoptic bronchoscopy
title_short Bronchial decompression following repair of absent pulmonary valve: Fine-tuning by procedural fiberoptic bronchoscopy
title_sort bronchial decompression following repair of absent pulmonary valve fine tuning by procedural fiberoptic bronchoscopy
topic airway management
bronchoscopy
congenital heart disease
infant pulmonary valve insufficiency
tetralogy of fallot
url http://www.annals.in/article.asp?issn=0971-9784;year=2021;volume=24;issue=3;spage=396;epage=398;aulast=Maddali
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AT pranavskandachar bronchialdecompressionfollowingrepairofabsentpulmonaryvalvefinetuningbyproceduralfiberopticbronchoscopy
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