Application of fibrobronchoscopy-guided aortic suspension in pediatric patients with bronchial compression resulting from repair of coarctation of the aorta: a case report
Abstract Background Coarctation of the aorta (CoA) is one of the more prevalent congenital heart diseases (CHD). The conventional treatment approach involves surgical correction of the coarctation. This procedure, however, can be associated with several complications, such as re-stenosis, aneurysm f...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2025-05-01
|
| Series: | BMC Pediatrics |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12887-025-05717-2 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849311968855326720 |
|---|---|
| author | Huayi Tan Xinke Zou Ke Gong Yifeng Yang Zhongshi Wu Jijia Liu Sijie Wu |
| author_facet | Huayi Tan Xinke Zou Ke Gong Yifeng Yang Zhongshi Wu Jijia Liu Sijie Wu |
| author_sort | Huayi Tan |
| collection | DOAJ |
| description | Abstract Background Coarctation of the aorta (CoA) is one of the more prevalent congenital heart diseases (CHD). The conventional treatment approach involves surgical correction of the coarctation. This procedure, however, can be associated with several complications, such as re-stenosis, aneurysm formation and pseudoaneurysm. One rare but significant complication is left bronchial compression, which may result from anterior displacement of the thoracic aorta or compression of the trachea by adherent tissue. Case presentation We present a case of a 7-month-old postoperative CoA patient who developed stenosis due to compression of the left main bronchus by the thoracic aorta. After comprehensive evaluation, we utilized a fiberoptic bronchoscope to accurately expose the site of aortic compression and subsequently performed bronchial release and aortic suspension procedures to alleviate the symptoms. The child demonstrated a satisfactory recovery following the surgical intervention. This successful case provides valuable insights for managing similar cases in the future. Conclusions Computing tomography (CT) airway reconstruction enables precise diagnosis of tracheal stenosis secondary to aortic arch pathology or coarctation repair. Intraoperative fiberoptic bronchoscopy provides real-time anatomical localization of stenotic segments, warranting standardization in high-risk aortic surgeries to ensure airway patency. Three-dimensional airway modeling should be incorporated into perioperative reassessment and longitudinal follow-up protocols. |
| format | Article |
| id | doaj-art-96392dfb7b27454fa6b78cb4886282b7 |
| institution | Kabale University |
| issn | 1471-2431 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pediatrics |
| spelling | doaj-art-96392dfb7b27454fa6b78cb4886282b72025-08-20T03:53:13ZengBMCBMC Pediatrics1471-24312025-05-012511710.1186/s12887-025-05717-2Application of fibrobronchoscopy-guided aortic suspension in pediatric patients with bronchial compression resulting from repair of coarctation of the aorta: a case reportHuayi Tan0Xinke Zou1Ke Gong2Yifeng Yang3Zhongshi Wu4Jijia Liu5Sijie Wu6Department of Cardiovascular Surgery, The Second Xiangya Hospital of Central South University, Central South UniversityDepartment of Cardiovascular Surgery, The Second Xiangya Hospital of Central South University, Central South UniversityDepartment of Cardiovascular Surgery, The Second Xiangya Hospital of Central South University, Central South UniversityDepartment of Cardiovascular Surgery, The Second Xiangya Hospital of Central South University, Central South UniversityDepartment of Cardiovascular Surgery, The Second Xiangya Hospital of Central South University, Central South UniversityDepartment of Cardiovascular Surgery, The Second Xiangya Hospital of Central South University, Central South UniversityDepartment of Cardiovascular Surgery, The Second Xiangya Hospital of Central South University, Central South UniversityAbstract Background Coarctation of the aorta (CoA) is one of the more prevalent congenital heart diseases (CHD). The conventional treatment approach involves surgical correction of the coarctation. This procedure, however, can be associated with several complications, such as re-stenosis, aneurysm formation and pseudoaneurysm. One rare but significant complication is left bronchial compression, which may result from anterior displacement of the thoracic aorta or compression of the trachea by adherent tissue. Case presentation We present a case of a 7-month-old postoperative CoA patient who developed stenosis due to compression of the left main bronchus by the thoracic aorta. After comprehensive evaluation, we utilized a fiberoptic bronchoscope to accurately expose the site of aortic compression and subsequently performed bronchial release and aortic suspension procedures to alleviate the symptoms. The child demonstrated a satisfactory recovery following the surgical intervention. This successful case provides valuable insights for managing similar cases in the future. Conclusions Computing tomography (CT) airway reconstruction enables precise diagnosis of tracheal stenosis secondary to aortic arch pathology or coarctation repair. Intraoperative fiberoptic bronchoscopy provides real-time anatomical localization of stenotic segments, warranting standardization in high-risk aortic surgeries to ensure airway patency. Three-dimensional airway modeling should be incorporated into perioperative reassessment and longitudinal follow-up protocols.https://doi.org/10.1186/s12887-025-05717-2Coarctation of the aortaComplicationsBronchial compressionFibrobronchoscopy-guided surgery |
| spellingShingle | Huayi Tan Xinke Zou Ke Gong Yifeng Yang Zhongshi Wu Jijia Liu Sijie Wu Application of fibrobronchoscopy-guided aortic suspension in pediatric patients with bronchial compression resulting from repair of coarctation of the aorta: a case report BMC Pediatrics Coarctation of the aorta Complications Bronchial compression Fibrobronchoscopy-guided surgery |
| title | Application of fibrobronchoscopy-guided aortic suspension in pediatric patients with bronchial compression resulting from repair of coarctation of the aorta: a case report |
| title_full | Application of fibrobronchoscopy-guided aortic suspension in pediatric patients with bronchial compression resulting from repair of coarctation of the aorta: a case report |
| title_fullStr | Application of fibrobronchoscopy-guided aortic suspension in pediatric patients with bronchial compression resulting from repair of coarctation of the aorta: a case report |
| title_full_unstemmed | Application of fibrobronchoscopy-guided aortic suspension in pediatric patients with bronchial compression resulting from repair of coarctation of the aorta: a case report |
| title_short | Application of fibrobronchoscopy-guided aortic suspension in pediatric patients with bronchial compression resulting from repair of coarctation of the aorta: a case report |
| title_sort | application of fibrobronchoscopy guided aortic suspension in pediatric patients with bronchial compression resulting from repair of coarctation of the aorta a case report |
| topic | Coarctation of the aorta Complications Bronchial compression Fibrobronchoscopy-guided surgery |
| url | https://doi.org/10.1186/s12887-025-05717-2 |
| work_keys_str_mv | AT huayitan applicationoffibrobronchoscopyguidedaorticsuspensioninpediatricpatientswithbronchialcompressionresultingfromrepairofcoarctationoftheaortaacasereport AT xinkezou applicationoffibrobronchoscopyguidedaorticsuspensioninpediatricpatientswithbronchialcompressionresultingfromrepairofcoarctationoftheaortaacasereport AT kegong applicationoffibrobronchoscopyguidedaorticsuspensioninpediatricpatientswithbronchialcompressionresultingfromrepairofcoarctationoftheaortaacasereport AT yifengyang applicationoffibrobronchoscopyguidedaorticsuspensioninpediatricpatientswithbronchialcompressionresultingfromrepairofcoarctationoftheaortaacasereport AT zhongshiwu applicationoffibrobronchoscopyguidedaorticsuspensioninpediatricpatientswithbronchialcompressionresultingfromrepairofcoarctationoftheaortaacasereport AT jijialiu applicationoffibrobronchoscopyguidedaorticsuspensioninpediatricpatientswithbronchialcompressionresultingfromrepairofcoarctationoftheaortaacasereport AT sijiewu applicationoffibrobronchoscopyguidedaorticsuspensioninpediatricpatientswithbronchialcompressionresultingfromrepairofcoarctationoftheaortaacasereport |