{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T03:23:04Z","timestamp":1788232984709,"version":"build-2803163510"},"reference-count":22,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2007,9,18]],"date-time":"2007-09-18T00:00:00Z","timestamp":1190073600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2007,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Aortopexy has become an established surgical procedure for the treatment of tracheomalacia (TM) in infants and children. The aim of the present study was to evaluate the clinical outcome and respiratory function after aortopexy in the long term.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Between 1992 and 2006, 20 patients (6 female, 14\u00a0male) with TM were treated by bronchoscopically monitored pexis of the aorta via a right anterior thoracotomy. Patient age ranged from 4\u00a0months to 11 years (mean: 29\u00a0months). Five infants had previous surgery of esophageal atresia or tracheo\u2010esophageal fistulae, and five other patients were operated on for gastroesophageal reflux. Postoperative tidal expiratory flow (TEF25%) was compared to age\u2010related values.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Mean follow\u2010up was 7.8 years (range: 13\u00a0months to 10.7 years). There was no early or late mortality. Most patients (<jats:italic>n<\/jats:italic> = 16) showed immediate and permanent relief of symptoms. Compared to corresponding age groups, median TEF25% was slightly but not significantly decreased after aortopexy (<jats:italic>p<\/jats:italic> = 0.15). In one patient a re\u2010aortopexy was necessary. Another patient experienced recurrent tracheo\u2010esophageal fistula 3 years after aortopexy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The bronchoscopically guided aortopexy is an efficient and simple method in the surgical treatment of TM in infants and children. The follow\u2010up data in this series of 20 patients showed improvement of respiratory function and permanent relief of symptoms in the long term.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-007-9221-1","type":"journal-article","created":{"date-parts":[[2007,9,17]],"date-time":"2007-09-17T16:22:36Z","timestamp":1190046156000},"page":"2255-2259","source":"Crossref","is-referenced-by-count":30,"title":["Aortopexy in Infants and Children\u2014Long\u2010term Follow\u2010up in Twenty Patients"],"prefix":"10.1002","volume":"31","author":[{"given":"Ulf","family":"Abdel\u2010Rahman","sequence":"first","affiliation":[{"name":"Department of Thoracic and Cardiovascular Surgery, Theodor\u2010Stern\u2010Kai 7 Johann Wolfgang Goethe\u2010University D\u201060590 Frankfurt\/Main Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Simon","sequence":"additional","affiliation":[{"name":"Department of Thoracic and Cardiovascular Surgery, 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