Posterior Plication of the Ascending Aorta to Relieve Tracheal Compression after Aorto-Left Ventricular Tunnel Repair
- VernacularTitle:左室大動脈トンネル術後の気管狭窄に対する後方大動脈縫縮法の1例
- Author:
Sho ISOBE
1
;
Koji NOMURA
1
;
Yoshihiro KO
1
;
Fumiaki MURAYAMA
1
Author Information
- Keywords: posterior plication; ascending aorta; tracheal compression; tracheomalacia
- From:Japanese Journal of Cardiovascular Surgery 2020;49(4):192-195
- CountryJapan
- Language:Japanese
- Abstract: A nine-month-old boy with a prenatal diagnosis of aorto-left ventricular tunnel (ALVT) and aortic valve disease underwent an urgent ALVT patch closure approximately 2 h after birth. The patient subsequently developed airway compression due to the progressive dilatation of the ascending aorta postoperatively associated with aortic regurgitation and stenosis. After 9 months of prolonged respiratory symptoms following the ALVT repair, he underwent a posterior plication of the ascending aorta. After plication, the tracheal compression and respiratory symptoms improved. A computed tomography (CT) scan 1 month after surgery revealed significant free space between the aorta and the trachea, which relieved the aortic compression. Posterior plication of the ascending aorta is achieved by resecting the posterior aortic wall adjacent to the airway. It is the procedure of choice for longer and more effective relief of airway compression compared to other procedures such as anterior aortopexy, the lateral sliding technique, and side clamp plication.
