Novosti
Khirurgii

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Year 2019 Vol. 27 No 5

CASE REPORTS

N.M. MALASHENKO 1, S.A. YESKOV 2, V.T. MALKEVICH 3, A.V. ZAPALIANSKI 1, A.A. SVIRSKY 1, YU.M. GRINEVICH 1, K.YU. MARAKHOVSKY 1, YU.I. LINNIK 1, E.S. RYABUSHKO 1, A.I. ZAMAREEV 1, V.I. AVERIN 2

PRIMARY CONGENITAL TRACHEAL STENOSIS IN AN INFANT

Children’s Surgery National Applied Research Hospital 1, Minsk Scientific and Practical Center of Surgery, Transplantology and Hematology2 N.N. Alexandrov National Cancer Centre of Belarus3, Belarusian State Medical University 4 Minsk, The Republic of Belarus

Primary congenital stenosis of the trachea is a rare malformation and occurs in 1 of 64,500 newborns, prevailing in boys. Combined malformations are detected in 80% of these patients, and cardiovascular malformations are in half of the cases. The clinical picture of the tracheal stenosis is non-specific, especially in children older than 1 month. Generally, symptoms can be distinguished for all age groups: stridor, tachypnea, tachycardia, acrocyanosis, perioral cyanosis, which are aggravated during feeding and physical exertion. Without surgical treatment mortality reaches 80%.
The article presents a clinical observation of an 8-year-months child with multiple congenital malformations: congenital heart disease, diverticulum and tracheal stenosis at the Th2 level, bilateral vesicoureteral reflux, grade 4, right ureterohydronephrosis.
Clinical manifestations of tracheal stenosis haven’t been marked in this patient for a long time, as a result, the defect was suspected quite late. The diagnosis was estimated by tracheobronchoscopy, angiopulmonography, bronchography and computed tomography.
The patient underwent a circular resection of the thoracic trachea with an “end-to-end” anastomosis under conditions of cardiopulmonary bypass. The child was discharged home on the 15th day in satisfactory condition.

Keywords: primary congenital tracheal stenosis, children, clinical presentation, diagnosis, resection of the trachea
p. 579-585 of the original issue
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Address for correspondence:
220013, The Republic of Belarus,
Minsk, Independence Ave., 64,
Children’s Surgery National
Applied Research Hospital.
Tel. +375 29 386 81 79,
e-mail: kisandra@yandex.ru,
Nikita M. Malashenko
Information about the authors:
Malashenko Nikita M., Pediatric Surgeon, Surgical Department ¹3, Children’s Surgery National Applied Research Hospital, Minsk, Republic of Belarus.
https://orcid.org/0000-0002-4340-7623
Yeskov Sergey A., PhD, Thoracic Surgeon, Head of the Thoracic Department, Minsk Scientific and Practical Center for Surgery, Transplantology and Hematology, Minsk, Republic of Belarus.
https://orcid.org/0000-0001-9957-1644
Malkevich Viktar T., MD, Associate Professor, Thoracic Surgeon, Head of the Laboratory of the Thoracic Cancer Pathology, N.N. Alexandrov National Cancer Centre of Belarus, Lesnoy, Minsk District, Republic of Belarus.
https://orcid.org/0000-0001-6138-8713
Zapalianski Andrei V., PhD, Pediatric Surgeon, Head of the Surgery Department, Children’s Surgery National Applied Research Hospital, Minsk, Republic of Belarus.
https://orcid.org/0000-0001-6854-7625
Svirsky Aliaksandr A., PhD, Associate Professor, Pediatric Surgeon, Deputy Director for Medical Work, Children’s Surgery National Applied Research Hospital, Minsk, Republic of Belarus.
https://orcid.org/0000-0001-6323-6537
Grinevich Yuri M., PhD, Associate Professor, Pediatric Surgeon, Head of the Surgical Department ¹4, Children’s Surgery National Applied Research Hospital, Minsk, Republic of Belarus.
https://orcid.org/0000-0003-4376-9971
Marakhovsky Kirill Yu., PhD, Pediatric Surgeon, Head of the Diagnostic Department, Children’s Surgery National Applied Research Hospital, Minsk, Republic of Belarus.
https://orcid.org/0000-0002-4191-6053
Linnik Yuri I., Pediatric Cardiovascular Surgeon, Head of the Department of Pediatric Cardiovascular Surgery, Children’s Surgery National Applied Research Hospital, Minsk, Republic of Belarus.
https://orcid.org/0000-0002-8281-3149
Ryabushko Elena S., Perfusiologist, the Department of Anesthesiology and Resuscitation ¹1, Children’s Surgery National Applied Research Hospital, Minsk, Republic of Belarus.
https://orcid.org/0000-0002-6248-9847
Zamareev Aliaksandr I., Anesthesiologist - Resuscitator, Head of the Department of Anesthesiology and Resuscitation ¹1, Children’s Surgery National Applied Research Hospital, Minsk, Republic of Belarus.
https://orcid.org/0000-0002-3712-8505
Averin Vasily I., MD, Professor, Head of the Department of Pediatric Surgery, Belarusian State Medical University, Minsk, Republic of Belarus.
https://orcid.org/0000-0003-3343-8810
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