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(Chest. 1994;106:1580-1582.)
© 1994 American College of Chest Physicians

Use of Gianturco Z Stents in the Treatment of Vascular Compression of the Tracheobronchial Tree in Childhood

A Feasible Solution When Surgery Fails

Philippe Bugmann M.D.1; Jean-Claude Rouge M.D.1; Michel Berner M.D.2; Beat Friedli M.D.2; and Claude Le Coultre M.D.1

1 From the Clinique de Chirurgie Pédiatrique, Hôpital des Enfants, Geneva, Switzerland
2 From the Département de Pédiatrie, Hôpital des Enfants, Geneva, Switzerland

Severe tracheomalacia secondary to extrinsic vascular compression following a switch operation for transposition is reported. Two attempts at surgical correction failed but successful treatment has been achieved by implantation of two endobronchial Gianturco Z stents. Nonabsorbable stenting in children should be used only in severe obstruction as a last resource, but this technique proved to be feasible in a child weighing 6.2 kg.




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