Abstract
We describe a boy who underwent slide tracheoplasty and relocation of the left pulmonary artery at 3 months of age to treat pulmonary artery sling with congenital tracheal stenosis. Persisting tracheal stenosis required that he have a Palmaz stent inserted on postoperative day 77. He developed massive hemoptysis after the fourth attempt to expand the stent balloon and immediate computed tomography showed a tracheopulmonary artery fistula. Using cardiopulmonary bypass, we conducted emergency surgery to successfully manage the fistula. He currently depends on mechanical ventilation.
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Simonds AK, Irving JD, Clarke SW, Dick R. Use of expandable metal stents in the treatment of bronchial obstruction. Thorax. 1989; 44: 680–1.
Varela A, Maynar M, Irving D, Dick R, Reyes R, Rousseau H, et al. Use of Gianturco self-expandable stents in the tracheobronchial tree. Ann Thorac Surg 1990; 49: 806–9.
Tsang V, Williams AM, Goldstraw P. Sequential silastic and expandable metal stenting for tracheobronchial strictures. Ann Thorac Surg. 1992; 53: 856–60.
Nashef SA, Dromer C, Velly JF, Labrousse L, Couraud L. Expanding wire stents in benign tracheobronchial disease: indications and complications. Ann Thorac Surg 1992; 54: 937–40.
Hramiec JE, Haaslet GB. Tracheal wire stent complications in malacia: implications of position and design. Ann Thorac Surg. 1997; 63: 209–12.
Furman RH, Backer CL, Donaldson J, Mavroudis C, Holinger LD. The use of balloon expandable metallic stents in the treatment of pediatric tracheomalacia and bronchomalacia. Arch Otolaryngol Head Neck Surg. 1999; 125: 203–7.
Filler RM, Forte V, Fraga JC, Matsute J. The use of expandable metallic airway stents for tracheobronchial obstruction in children. J Pediatr Surg 1995; 30: 1050–6.
Muraji T, Satoh S, Tsugawa C, Moriuchi T, Yamaguchi M. Slide tracheoplasty: a case report of successful concomitant reconstruction of extensive congenital tracheal stenosis and pulmonary artery sling. J Pediatr Surg 1998; 33: 1658–9.
Cook CH, Bhattacharyya N, King DR: Aortobronchial fistula after expandable metal stent insertion for pediatric bronchomalacia. J Pediatr Surg. 1998; 33: 1306–8.
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Miyamoto, T., Ishida, R., Noma, M. et al. Successful surgical management of a tracheopulmonary artery fistula caused by an intratracheal expandable metal stent. Jpn J Thorac Caridovasc Surg 49, 632–634 (2001). https://doi.org/10.1007/BF02916230
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DOI: https://doi.org/10.1007/BF02916230