ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Hermes C. Grillo
Cameron D. Wright
Philippe G. Dartevelle
John C. Wain
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Grillo, H. C.
Right arrow Articles by Murakami, S.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Grillo, H. C.
Right arrow Articles by Murakami, S.
Related Collections
Right arrow Trachea and bronchi

Ann Thorac Surg 2005;80:2057-2062
© 2005 The Society of Thoracic Surgeons

Original article: General thoracic

Tracheal Compression Caused by Straight Back Syndrome, Chest Wall Deformity, and Anterior Spinal Displacement: Techniques for Relief

Hermes C. Grillo, MD a , * , Cameron D. Wright, MD a , Philippe G. Dartevelle, MD b , John C. Wain, MD a , Shinya Murakami, MD b

a Division of General Thoracic Surgery, Massachusetts General Hospital, and the Department of Surgery, Harvard Medical School, Boston, Massachusetts
b Service for Thoracic and Vascular Surgery and Heart-Lung Transplantation, Marie-Lannelongue Hospital, Paris-Sud University, Le Plessis Robinson, France

Accepted for publication May 11, 2005.

* Address correspondence to Dr Grillo, Blake 1570, Massachusetts General Hospital, 55 Fruit St, Boston, MA02114 (Email: pguerriero{at}partners.org).

BACKGROUND: Straight back syndrome and other causes of extreme narrowing of the space between sternal notch and vertebrae can cause critical tracheal obstruction. Additional points of compression may result from the brachiocephalic artery and from anterior vertebral displacement.

METHODS: Individualized surgical maneuvers are necessary to correct all points of obstruction. Techniques include sternoplasty, sternal division, reimplantation of brachiocephalic artery, correction of severe pectus excavatum, and posterior wall tracheoplasty.

RESULTS: Four patients were successfully treated by individualized techniques with complete long-term relief of critical tracheal obstruction.

CONCLUSIONS: Severe tracheal compression caused by straight back syndrome and other causes of narrowed sternospinal channel is surgically correctable.




This article has been cited by other articles:


Home page
 J. Thorac. Cardiovasc. Surg.Home page
T. Nagasao, J. Miyamoto, T. Tamaki, K. Ichihara, H. Jiang, T. Taguchi, R. Yozu, and T. Nakajima
Stress distribution on the thorax after the Nuss procedure for pectus excavatum results in different patterns between adult and child patients.
J. Thorac. Cardiovasc. Surg., December 1, 2007; 134(6): 1502 - 1507.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 2005 by The Society of Thoracic Surgeons.