The right-sided aortic arch in children with esophageal atresia and tracheo-esophageal fistula: a repair through the right thoracotomy
Purpose The management of the esophageal atresia and tracheo-esophageal fistula (EA/TEF) with right-sided aortic arch (RAA) is controversial. The preoperative diagnostic techniques may fail to show RAA associated with EA/TEF. Surgeon may need to make a decision to change the side of thoracotomy. The...
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| Veröffentlicht in: | Pediatric surgery international 2009-05, Vol.25 (5), p.423-425 |
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| creator | Bicakci, Unal Tander, Burak Ariturk, Ender Rizalar, Riza Ayyildiz, Suat H. Bernay, Ferit |
| description | Purpose
The management of the esophageal atresia and tracheo-esophageal fistula (EA/TEF) with right-sided aortic arch (RAA) is controversial. The preoperative diagnostic techniques may fail to show RAA associated with EA/TEF. Surgeon may need to make a decision to change the side of thoracotomy. The aim of the current study was to evaluate the possibility of preoperative diagnosis of RAA and the primary anastomosis through right chest.
Methods
A retrospective review was performed in EA/TEF patients between February 2001 and 2008. A total of 79 patients (35 female, 44 male) with EA/TEF were reviewed. Eleven (13%) patients (5 female, 6 male) had an RAA. Echocardiography was performed in 10 of 11 patients with RAA. The chest was accessed through the right side in all patients.
Results
The incidence of RAA was found to be higher in our study than previous studies (13%). Right thoracotomy was performed successfully in all patients. Three patients died due to multiple congenital anomalies and 1 patient due to bleeding postoperatively. Five of 10 had normal echocardiography findings. Only one patient with RAA has been successfully diagnosed by preoperative echocardiographic examination. Seven patients had no complication after operation. Their follow-up was uneventful.
Conclusion
Preoperative recognition of RAA with echocardiography is unlikely in patients with EA/TEF but the presence of RAA does not decrease the success rate of EA/TEF repair through the right thoracotomy. |
| doi_str_mv | 10.1007/s00383-009-2354-6 |
| format | Article |
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The management of the esophageal atresia and tracheo-esophageal fistula (EA/TEF) with right-sided aortic arch (RAA) is controversial. The preoperative diagnostic techniques may fail to show RAA associated with EA/TEF. Surgeon may need to make a decision to change the side of thoracotomy. The aim of the current study was to evaluate the possibility of preoperative diagnosis of RAA and the primary anastomosis through right chest.
Methods
A retrospective review was performed in EA/TEF patients between February 2001 and 2008. A total of 79 patients (35 female, 44 male) with EA/TEF were reviewed. Eleven (13%) patients (5 female, 6 male) had an RAA. Echocardiography was performed in 10 of 11 patients with RAA. The chest was accessed through the right side in all patients.
Results
The incidence of RAA was found to be higher in our study than previous studies (13%). Right thoracotomy was performed successfully in all patients. Three patients died due to multiple congenital anomalies and 1 patient due to bleeding postoperatively. Five of 10 had normal echocardiography findings. Only one patient with RAA has been successfully diagnosed by preoperative echocardiographic examination. Seven patients had no complication after operation. Their follow-up was uneventful.
Conclusion
Preoperative recognition of RAA with echocardiography is unlikely in patients with EA/TEF but the presence of RAA does not decrease the success rate of EA/TEF repair through the right thoracotomy.</description><identifier>ISSN: 0179-0358</identifier><identifier>EISSN: 1437-9813</identifier><identifier>DOI: 10.1007/s00383-009-2354-6</identifier><identifier>PMID: 19308429</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Anastomosis, Surgical ; Aorta, Thoracic - abnormalities ; Echocardiography ; Esophageal Atresia - complications ; Esophageal Atresia - surgery ; Female ; Heart Defects, Congenital - complications ; Heart Defects, Congenital - diagnostic imaging ; Humans ; Infant ; Male ; Medicine ; Medicine & Public Health ; Original Article ; Pediatric Surgery ; Pediatrics ; Retrospective Studies ; Surgery ; Thoracotomy ; Tracheoesophageal Fistula - complications ; Tracheoesophageal Fistula - surgery</subject><ispartof>Pediatric surgery international, 2009-05, Vol.25 (5), p.423-425</ispartof><rights>Springer-Verlag 2009</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c398t-374227d029e4090ec1ffae43f565df3b843c1a44c53ce98402b8b492b0e95e783</citedby><cites>FETCH-LOGICAL-c398t-374227d029e4090ec1ffae43f565df3b843c1a44c53ce98402b8b492b0e95e783</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00383-009-2354-6$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00383-009-2354-6$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19308429$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bicakci, Unal</creatorcontrib><creatorcontrib>Tander, Burak</creatorcontrib><creatorcontrib>Ariturk, Ender</creatorcontrib><creatorcontrib>Rizalar, Riza</creatorcontrib><creatorcontrib>Ayyildiz, Suat H.</creatorcontrib><creatorcontrib>Bernay, Ferit</creatorcontrib><title>The right-sided aortic arch in children with esophageal atresia and tracheo-esophageal fistula: a repair through the right thoracotomy</title><title>Pediatric surgery international</title><addtitle>Pediatr Surg Int</addtitle><addtitle>Pediatr Surg Int</addtitle><description>Purpose
The management of the esophageal atresia and tracheo-esophageal fistula (EA/TEF) with right-sided aortic arch (RAA) is controversial. The preoperative diagnostic techniques may fail to show RAA associated with EA/TEF. Surgeon may need to make a decision to change the side of thoracotomy. The aim of the current study was to evaluate the possibility of preoperative diagnosis of RAA and the primary anastomosis through right chest.
Methods
A retrospective review was performed in EA/TEF patients between February 2001 and 2008. A total of 79 patients (35 female, 44 male) with EA/TEF were reviewed. Eleven (13%) patients (5 female, 6 male) had an RAA. Echocardiography was performed in 10 of 11 patients with RAA. The chest was accessed through the right side in all patients.
Results
The incidence of RAA was found to be higher in our study than previous studies (13%). Right thoracotomy was performed successfully in all patients. Three patients died due to multiple congenital anomalies and 1 patient due to bleeding postoperatively. Five of 10 had normal echocardiography findings. Only one patient with RAA has been successfully diagnosed by preoperative echocardiographic examination. Seven patients had no complication after operation. Their follow-up was uneventful.
Conclusion
Preoperative recognition of RAA with echocardiography is unlikely in patients with EA/TEF but the presence of RAA does not decrease the success rate of EA/TEF repair through the right thoracotomy.</description><subject>Anastomosis, Surgical</subject><subject>Aorta, Thoracic - abnormalities</subject><subject>Echocardiography</subject><subject>Esophageal Atresia - complications</subject><subject>Esophageal Atresia - surgery</subject><subject>Female</subject><subject>Heart Defects, Congenital - complications</subject><subject>Heart Defects, Congenital - diagnostic imaging</subject><subject>Humans</subject><subject>Infant</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Article</subject><subject>Pediatric Surgery</subject><subject>Pediatrics</subject><subject>Retrospective Studies</subject><subject>Surgery</subject><subject>Thoracotomy</subject><subject>Tracheoesophageal Fistula - complications</subject><subject>Tracheoesophageal Fistula - surgery</subject><issn>0179-0358</issn><issn>1437-9813</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kcuKFDEUhoMoTjv6AG4kuHAXPblUVeJOBm8w4GZch1TqVCdDdaVNUsi8gM9txm4YEVydwPn-_wQ-Ql5yeMsBhncFQGrJAAwTslOsf0R2XMmBGc3lY7IDPhgGstMX5FkptwCgZW-ekgtuJGglzI78uglIc9yHykqccKIu5Ro9ddkHGlfqQ1ymjCv9GWugWNIxuD26hbqasURH3TrRmp0PmNhf6zmWui3uPXU049HFTGvIaduHNs8H2yu1YKrpcPecPJndUvDFeV6S758-3lx9YdffPn-9-nDNvDS6MjkoIYYJhEEFBtDzeXao5Nz13TTLUSvpuVPKd9Kj0QrEqEdlxAhoOhy0vCRvTr3HnH5sWKo9xOJxWdyKaSu2HwTXZuANfP0PeJu2vLa_WSFEb3r4A_ET5HMqJeNsjzkeXL6zHOy9IXsyZJshe2_I9i3z6ly8jQecHhJnJQ0QJ6C01brH_HD5_62_AbijnRE</recordid><startdate>20090501</startdate><enddate>20090501</enddate><creator>Bicakci, Unal</creator><creator>Tander, Burak</creator><creator>Ariturk, Ender</creator><creator>Rizalar, Riza</creator><creator>Ayyildiz, Suat H.</creator><creator>Bernay, Ferit</creator><general>Springer-Verlag</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20090501</creationdate><title>The right-sided aortic arch in children with esophageal atresia and tracheo-esophageal fistula: a repair through the right thoracotomy</title><author>Bicakci, Unal ; Tander, Burak ; Ariturk, Ender ; Rizalar, Riza ; Ayyildiz, Suat H. ; Bernay, Ferit</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c398t-374227d029e4090ec1ffae43f565df3b843c1a44c53ce98402b8b492b0e95e783</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Anastomosis, Surgical</topic><topic>Aorta, Thoracic - abnormalities</topic><topic>Echocardiography</topic><topic>Esophageal Atresia - complications</topic><topic>Esophageal Atresia - surgery</topic><topic>Female</topic><topic>Heart Defects, Congenital - complications</topic><topic>Heart Defects, Congenital - diagnostic imaging</topic><topic>Humans</topic><topic>Infant</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Article</topic><topic>Pediatric Surgery</topic><topic>Pediatrics</topic><topic>Retrospective Studies</topic><topic>Surgery</topic><topic>Thoracotomy</topic><topic>Tracheoesophageal Fistula - complications</topic><topic>Tracheoesophageal Fistula - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bicakci, Unal</creatorcontrib><creatorcontrib>Tander, Burak</creatorcontrib><creatorcontrib>Ariturk, Ender</creatorcontrib><creatorcontrib>Rizalar, Riza</creatorcontrib><creatorcontrib>Ayyildiz, Suat H.</creatorcontrib><creatorcontrib>Bernay, Ferit</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric surgery international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bicakci, Unal</au><au>Tander, Burak</au><au>Ariturk, Ender</au><au>Rizalar, Riza</au><au>Ayyildiz, Suat H.</au><au>Bernay, Ferit</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The right-sided aortic arch in children with esophageal atresia and tracheo-esophageal fistula: a repair through the right thoracotomy</atitle><jtitle>Pediatric surgery international</jtitle><stitle>Pediatr Surg Int</stitle><addtitle>Pediatr Surg Int</addtitle><date>2009-05-01</date><risdate>2009</risdate><volume>25</volume><issue>5</issue><spage>423</spage><epage>425</epage><pages>423-425</pages><issn>0179-0358</issn><eissn>1437-9813</eissn><abstract>Purpose
The management of the esophageal atresia and tracheo-esophageal fistula (EA/TEF) with right-sided aortic arch (RAA) is controversial. The preoperative diagnostic techniques may fail to show RAA associated with EA/TEF. Surgeon may need to make a decision to change the side of thoracotomy. The aim of the current study was to evaluate the possibility of preoperative diagnosis of RAA and the primary anastomosis through right chest.
Methods
A retrospective review was performed in EA/TEF patients between February 2001 and 2008. A total of 79 patients (35 female, 44 male) with EA/TEF were reviewed. Eleven (13%) patients (5 female, 6 male) had an RAA. Echocardiography was performed in 10 of 11 patients with RAA. The chest was accessed through the right side in all patients.
Results
The incidence of RAA was found to be higher in our study than previous studies (13%). Right thoracotomy was performed successfully in all patients. Three patients died due to multiple congenital anomalies and 1 patient due to bleeding postoperatively. Five of 10 had normal echocardiography findings. Only one patient with RAA has been successfully diagnosed by preoperative echocardiographic examination. Seven patients had no complication after operation. Their follow-up was uneventful.
Conclusion
Preoperative recognition of RAA with echocardiography is unlikely in patients with EA/TEF but the presence of RAA does not decrease the success rate of EA/TEF repair through the right thoracotomy.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>19308429</pmid><doi>10.1007/s00383-009-2354-6</doi><tpages>3</tpages></addata></record> |
| fulltext | fulltext |
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| ispartof | Pediatric surgery international, 2009-05, Vol.25 (5), p.423-425 |
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| language | eng |
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| source | MEDLINE; SpringerNature Journals |
| subjects | Anastomosis, Surgical Aorta, Thoracic - abnormalities Echocardiography Esophageal Atresia - complications Esophageal Atresia - surgery Female Heart Defects, Congenital - complications Heart Defects, Congenital - diagnostic imaging Humans Infant Male Medicine Medicine & Public Health Original Article Pediatric Surgery Pediatrics Retrospective Studies Surgery Thoracotomy Tracheoesophageal Fistula - complications Tracheoesophageal Fistula - surgery |
| title | The right-sided aortic arch in children with esophageal atresia and tracheo-esophageal fistula: a repair through the right thoracotomy |
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