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CASE REPORT article

Front. Pediatr.
Sec. Neonatology
Volume 12 - 2024 | doi: 10.3389/fped.2024.1447418

Tracheal reconstructive surgery under ECMO for treatment of CTS in a premature infant: case report

Provisionally accepted
Qian Ya Xu Qian Ya Xu Qian Zhang Qian Zhang *Sapana Tamang Sapana Tamang Yu Xi Yu Xi Guowei Fu Guowei Fu Long Hui Guo Long Hui Guo Wei Ma Wei Ma Llili Wang Llili Wang Gai Zhao Gai Zhao Hai Xia Wang Hai Xia Wang
  • First Affiliated Hospital of Zhengzhou University, Zhengzhou, China

The final, formatted version of the article will be published soon.

    Congenital tracheal stenosis (CTS) is a rare but life-threatening malformation of the trachea. Surgical reconstruction is the treatment of choice in symptomatic cases which is highly risky and is rarely performed in extremely premature infants. With this, reporting a case of CTS managed by tracheal reconstructive surgery under ECMO in a baby weighing 1.47 kg at 32+1 WOG was the first ever case in China.A premature newborn with a very low birth weight (VLBW) was admitted to our institute for breathing difficulties, requiring mechanical ventilation, and experienced two unsuccessful attempts of extubation. The team performed tracheal reconstructive surgery supported by ECMO after identifying lower tracheal stenosis through a bronchoscopy examination. One month after the surgery, oxygen support was able to discontinue. The patient's entire hospitalization was incredibly challenging, marked by hemodynamic instability with persistent anemia, and disseminated intravascular coagulation (DIC), which were managed with great care. Despite the difficult stay, a follow-up bronchoscopy revealed no obstruction or tracheal stenosis, leading to a successful discharge.Advancements in diagnostic techniques and innovative management methods have made diagnosing and treating CTS easier, even in premature infants. Our case is the first in China to successfully undergo tracheal reconstructive surgery supported by ECMO, inspiring future achievements in the medical field.

    Keywords: Congenital tracheal stenosis (CTS), Tracheal reconstructive surgery, Extracorporeal membrane oxygenation (ECMO), premature infants, Very low birth weight

    Received: 11 Jun 2024; Accepted: 19 Nov 2024.

    Copyright: © 2024 Xu, Zhang, Tamang, Xi, Fu, Guo, Ma, Wang, Zhao and Wang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Qian Zhang, First Affiliated Hospital of Zhengzhou University, Zhengzhou, China

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