Age/ Gender
Symptoms
Comorbidity
Aortic sidedness
Severity
Surgical technique Technical result Other procedures
Clinical follow-up
1
4mo/ M
Noisy breathing, respiratory distress
None
LAA
75% distal tracheal compression
Thymectomy Anterior aortopexy
10 % residual tracheal stenosis
Symptoms free at 5 months of follow up
2
2mo/M
Respiratory failure, Recurrent intubation Downs syndrome CAVCD Prune Belly
LAA
80% distal tracheal compression
Thymectomy Anterior aortopexy
10 % residual tracheal stenosis
Redo sternotomy, CAVCD repair at 8 months of age
Doing well at 18 months of follow up
3
9mo/M
Recurrent death spells
T 18
LAA
80% distal tracheal compression
Thymectomy Anterior aortopexy
5 % residual tracheal stenosis
No more episodes of reflex apnea at 3 moths of follow-up
4
2mo/ F
Recurrent failure of extubation
Prematurity Partial anomalous pulmonary venous return, PDA
LAA
90% distal tracheal compression
Thymectomy Anterior aortopexy
50% tracheal stenosis
Translocation of innominate artery Warden repair of PAPVR, PDA ligation
Symptoms free at 8 months of follow up
5
16mo/ F
Noisy breathing, respiratory distress
None
LAA
80% distal tracheal compression Mild posterior membrane intrusion Thymectomy Anterior aortopexy
20 % residual tracheal stenosis
Some residual stridor, no reflex apnea ta 6 months
6
10mo/ M
Noisy breathing, respiratory distress
None
LAA
80% distal tracheal compression
Thymectomy Anterior aortopexy
5 % residual tracheal stenosis
No more episodes of reflex apnea at 2 months of follow-up
7
2mo/ F
Recurrent failure of extubation
Prematurity
LAA
90% distal tracheal stenosis
Thymectomy Anterior aortopexy
50% tracheal stenosis
Full sternotomy, CPB, tracheal resection and anastomosis
Symptoms free at 5 months of follow-up
8
24mo/ M
Recurrent failure of extubation
Tracheostomy Prior complete vascular ring division Multiple vocal cord surgeries
RAA
80% right lateral distal tracheal compression
Thymectomy Anterior aortopexy (Right sternal table)
15 % residual tracheal stenosis
Off ventilator, with tracheostomy
Awaiting further vocal cord/ subglottic surgery for decannulation
9
17mo/ F
Severe stridor
Prematurity, TEF, s/p TEF repair via right thoracotomy
LAA
75% distal tracheal stenosis
Thymectomy Anterior aortopexy
10 % residual tracheal stenosis
Symptom free at 4 months of follow-up