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

Madan M Maddali, Hamood N Al-Kindi, Pranav S Kandachar, Amr Abolwafa, Ahmed E Ahmed
Department of Cardiac Anesthesia and Cardiothoracic Surgery, Royal Hospital, Muscat, Oman

Correspondence Address:
Madan M Maddali
Royal Hospital, P.B.No: 1331, P.C: 111, Muscat
Oman
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_203_20

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Year : 2021  |  Volume : 24  |  Issue : 3  |  Page : 396-398

 
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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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  © Annals of Cardiac Anaesthesia | Published by Wolters Kluwer - Medknow
 Online since 5th January, 2008

 

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Madan M Maddali, Hamood N Al-Kindi, Pranav S Kandachar, Amr Abolwafa, Ahmed E Ahmed
Department of Cardiac Anesthesia and Cardiothoracic Surgery, Royal Hospital, Muscat, Oman

Correspondence Address:
Madan M Maddali
Royal Hospital, P.B.No: 1331, P.C: 111, Muscat
Oman
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_203_20

Rights and Permissions

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.






[FULL TEXT] [PDF]*


        
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  Sitemap | Feedback | Disclaimer | What's New |  
  © Annals of Cardiac Anaesthesia | Published by Wolters Kluwer - Medknow
 Online since 5th January, 2008