Abstract
When severe tracheomalacia is not controlled by conservative measures, minimally invasive aortopexy may be a treatment option. The procedure involves suturing the aortic arch to the posterior aspect of the sternum via a left-sided approach, with left lobe thymectomy to achieve adequate exposure. The risks of aortic injury, nerve damage, and haemomediastinum are minimised by performing the procedure under thoracoscopic guidance, though concerns remain about the rate of recurrence using this approach.
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Suggested Reading
Jennings RW, Hamilton TE, Smithers CJ, Ngerncham M, Feins N, Foker JE. Surgical approaches to aortopexy for severe tracheomalacia. J Pediatr Surg. 2014;49:66–70.
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Stanwell, J., Kiely, E. (2017). Thoracoscopic Aortopexy. In: McHoney, M., Kiely, E., Mushtaq, I. (eds) Color Atlas of Pediatric Anatomy, Laparoscopy, and Thoracoscopy. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-53085-6_11
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DOI: https://doi.org/10.1007/978-3-662-53085-6_11
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