ArticleJournal of thoracic disease2019
Surgical indication for congenital tracheal stenosis complicated by pulmonary artery sling.
Article in Journal of thoracic disease, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.
- Tracheoplasty for Patients with Pulmonary Artery Sling and Tracheal Stenosis: A Meta-Analysis.Pediatric cardiology · 2020Pooled it
- A 3-dimensional modeling workflow to guide left pulmonary artery reimplantation.JTCVS techniques · 2026Article
- Long-segment tracheal stenosis with left pulmonary artery sling in a low- to middle-income country setting: Value of imaging and bronchoscopy: CASE REPORT.African journal of thoracic and critical care medicine · 2026Article
- Outcomes of not using tracheoplasty in asymptomatic tracheal stenosis found during open-heart surgery.Interdisciplinary cardiovascular and thoracic surgery · 2024Article
- [Analysis of the diagnosis and treatment of 10 cases of complex respiratory foreign bodies in children].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2024Article
- Relationship between a Tracheal and Left Pulmonary Artery Stenosis Index and the Prognosis of Pulmonary Artery Sling with Tracheal Stenosis.Pediatric cardiology · 2021Article
- A Delayed Anatomic Diagnosis and Management Challenge in an Initially Asymptomatic Infant With Type II Pulmonary Artery Sling: A Case Report.Frontiers in cardiovascular medicine · 2021Article
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCongenital tracheal stenosis (CTS) is a rare and life-threatening disease in children. Although pulmonary artery sling (PA sling) complicated by CTS sometimes occurs, there are few reports detailing the management of CTS with PA sling. The purpose of this retrospective study was to determine the appropriate indications for surgical intervention for CTS complicated by PA sling.
methodsWe evaluated 42 patients (19 males and 23 females) with the median age of 9.9±3.3 months (range, 5-34 months) with CTS complicated by PA sling who were treated at our hospital between 2005 and 2018. Twenty-eight patients received both a slide tracheoplasty and PA re-implantation, and 14 patients were managed conservatively for CTS. Among the latter, nine patients received PA re-implantation only, and five were managed conservatively without any surgery. We determined the surgical indications by retrospectively comparing the DLR value [tracheal diameter (mm)/stenotic length ratio], history of ventilator respiration, mortality rate, and post-operative course of patients at a single institution.
resultsThe cut-off value for the DLR was determined to be 5.9 (sensitivity: 0.929, specificity: 0.714) by using the ROC curve (AUC 0.89, P<0.05).
conclusionsA DLR value under 5.9 may serve as a new surgical indication for CTS complicated by PA sling.
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