Image-guided esophageal anastomosis in esophageal atresia
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作者:
Garcia, Alejandro V.
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Morgan Stanley Childrens Hosp, Dept Surg, Div Pediat Surg, CHN 204, New York, NY 10032 USAMorgan Stanley Childrens Hosp, Dept Surg, Div Pediat Surg, CHN 204, New York, NY 10032 USA
Garcia, Alejandro V.
[1
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Thirumoorthi, Arul S.
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Morgan Stanley Childrens Hosp, Dept Surg, Div Pediat Surg, CHN 204, New York, NY 10032 USAMorgan Stanley Childrens Hosp, Dept Surg, Div Pediat Surg, CHN 204, New York, NY 10032 USA
Thirumoorthi, Arul S.
[1
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Traina, Jocelyn M.
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Morgan Stanley Childrens Hosp, Dept Surg, Div Pediat Surg, CHN 204, New York, NY 10032 USAMorgan Stanley Childrens Hosp, Dept Surg, Div Pediat Surg, CHN 204, New York, NY 10032 USA
Traina, Jocelyn M.
[1
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Schlossberg, Peter
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Morgan Stanley Childrens Hosp New York Presbyteri, Dept Radiol, Div Intervent Radiol, New York, NY 10032 USAMorgan Stanley Childrens Hosp, Dept Surg, Div Pediat Surg, CHN 204, New York, NY 10032 USA
Schlossberg, Peter
[2
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Sheynzon, Vladimir
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Morgan Stanley Childrens Hosp New York Presbyteri, Dept Radiol, Div Intervent Radiol, New York, NY 10032 USAMorgan Stanley Childrens Hosp, Dept Surg, Div Pediat Surg, CHN 204, New York, NY 10032 USA
Sheynzon, Vladimir
[2
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Kandel, Jessica J.
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Morgan Stanley Childrens Hosp, Dept Surg, Div Pediat Surg, CHN 204, New York, NY 10032 USAMorgan Stanley Childrens Hosp, Dept Surg, Div Pediat Surg, CHN 204, New York, NY 10032 USA
Kandel, Jessica J.
[1
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机构:
[1] Morgan Stanley Childrens Hosp, Dept Surg, Div Pediat Surg, CHN 204, New York, NY 10032 USA
[2] Morgan Stanley Childrens Hosp New York Presbyteri, Dept Radiol, Div Intervent Radiol, New York, NY 10032 USA
Infants with tracheoesophageal fistulas may present with complex cardiac disease that may obviate or disrupt a safe operative repair. Here we present a case of an infant who developed cardiac instability during esophageal atresia repair, precluding formal anastomosis after approximation of the distal and proximal esophageal segments. Postoperatively, anastomosis of the esophagus was achieved using an image-guided technique with subsequent dilation. This approach may provide an alternative approach for establishment of esophageal continuity in patients who are high-risk operative candidates. (C) 2012 Elsevier Inc. All rights reserved.