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The SAGES Manual of Pediatric Minimally Invasive Surgery pp 97–106Cite as

Thoracoscopic Aortopexy

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Abstract

Tracheomalacia (TM) is a dynamic compression of the trachea causing an intermittent airway obstruction causing symptoms of severe stridor, recurrent respiratory infections, and even apnea leading to sudden death. It may be congenital or an acquired process. Although children can outgrow mild to moderate disease, severe TM carries high morbidity and mortality. Physicians need high index of suspicion to diagnose TM along with direct visualization with bronchoscopy and/or dynamic imaging with CT. Experts agree that aortopexy is indicated for severe TM. The goal of the procedure is to elevate the anterior wall of the aorta toward the sternum to relieve the dynamic compression on the tracheal wall. The open procedure has excellent outcomes in literature. With the advent of minimally invasive surgery, a thoracoscopic approach achieves the same goals and has been performed successfully at multiple institutions. It can be performed with a left- or right-sided approach. Similar outcomes have been reported with the addition of quicker recovery period and improved cosmetic results.

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Author information

Authors and Affiliations

  1. General Surgery, Beaumont Health, 3601 W. 13 Mile Road, Royal Oak, MI, 48073, USA

    Azmath Mohammed

  2. Pediatric Surgery, Beaumont Children’s – Beaumont Health, Oakland University William Beaumont School of Medicine, 3535 W. 13 Mile Road, Suite 307, Royal Oak, MI, 48126, USA

    Nathan Novotny

Authors
  1. Azmath Mohammed
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  2. Nathan Novotny
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Correspondence to Nathan Novotny .

Editor information

Editors and Affiliations

  1. Division of Pediatric Surgery, East Carolina University Brody School of Medicine, Greenville, North Carolina, USA

    Danielle S. Walsh

  2. Northeast Ohio Medical College Division of Pediatric Surgery, Akron Children’s Hospital, Akron, Ohio, USA

    Todd A. Ponsky

  3. Division of Pediatric Surgery, Akron Children’s Hospital, Akron, Ohio, USA

    Nicholas E. Bruns

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© 2017 Springer International Publishing Switzerland

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Mohammed, A., Novotny, N. (2017). Thoracoscopic Aortopexy. In: Walsh, D., Ponsky, T., Bruns, N. (eds) The SAGES Manual of Pediatric Minimally Invasive Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-43642-5_8

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  • DOI: https://doi.org/10.1007/978-3-319-43642-5_8

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-43640-1

  • Online ISBN: 978-3-319-43642-5

  • eBook Packages: MedicineMedicine (R0)

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