{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T13:16:09Z","timestamp":1787318169095,"version":"build-2736575974"},"reference-count":18,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2021,5,8]],"date-time":"2021-05-08T00:00:00Z","timestamp":1620432000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,8,18]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>\u2002<\/jats:title>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBJECTIVES<\/jats:title>\n                    <jats:p>Tracheobronchomalacia (TBM) is characterized by collapse of trachea, bronchi or both, leading to dyspnoea, expiratory stridor, coughing or recurrent airway infections. Surgical treatment with aortopexy is warranted for severe TBM. We describe a modified aortopexy technique with aortic wall strap sutures that evenly distributes the traction force over the full width of the aortic arch. The aim of this study was to determine the outcomes of this modified anterior aortopexy technique.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>Retrospective chart review of all patients undergoing aortopexy with aortic wall strap sutures for TBM between January 2010 and June 2020 in 2 tertiary hospitals in the Netherlands.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>Twenty-four patients [median age 9\u2009months (interquartile range 2\u2013117\u2009months); 71% male] underwent aortopexy with the modified technique for TBM (52%), tracheomalacia (40%) or bonchomalacia (8%). Aortopexy was successful in 91.7%, defined as relief or decrease of respiratory symptoms and no need for respiratory support. Complications occurred in 8.3% and mortality was 4%.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>Aortopexy with non-absorbable strap sutures seems an effective and safe treatment for severe TBM. This study supports the hypothesis that strap sutures provide a solid and reliable traction force, but future comparative studies should confirm the benefit of strap sutures over conventional techniques.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/icvts\/ivab100","type":"journal-article","created":{"date-parts":[[2021,3,28]],"date-time":"2021-03-28T07:07:06Z","timestamp":1616915226000},"page":"462-468","source":"Crossref","is-referenced-by-count":3,"title":["A modified surgical technique for aortopexy in tracheobronchomalacia"],"prefix":"10.1093","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0578-6407","authenticated-orcid":false,"given":"Onur B","family":"Dolmaci","sequence":"first","affiliation":[{"name":"Department of Cardiothoracic Surgery, Amsterdam University Medical Center location AMC, Amsterdam, Netherlands"},{"name":"Department of Cardiothoracic Surgery, Leiden University Medical Center, Leiden, Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8296-9370","authenticated-orcid":false,"given":"Marc Matthijs","family":"Fockens","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Amsterdam University Medical Center location AMC, Amsterdam, Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3512-2329","authenticated-orcid":false,"given":"Matthijs W","family":"Oomen","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Amsterdam University Medical Center location AMC, Amsterdam, Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2241-7806","authenticated-orcid":false,"given":"Job B","family":"van Woensel","sequence":"additional","affiliation":[{"name":"Department of Pediatric Intensive Care, Amsterdam University Medical Center location AMC, Amsterdam, Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlijn E L","family":"Hoekstra","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Amsterdam University Medical Center location AMC, Amsterdam, Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David R","family":"Koolbergen","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Amsterdam University Medical Center location AMC, Amsterdam, Netherlands"},{"name":"Department of Cardiothoracic Surgery, Leiden University Medical Center, Leiden, Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2021,5,8]]},"reference":[{"key":"2022030915260398500_ivab100-B1","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1002\/ppul.10156","article-title":"Series of laryngomalacia, tracheomalacia, and bronchomalacia disorders and their associations with other conditions in children","volume":"34","author":"Masters","year":"2002","journal-title":"Pediatr Pulmonol"},{"key":"2022030915260398500_ivab100-B2","doi-asserted-by":"crossref","first-page":"984","DOI":"10.1378\/chest.127.3.984","article-title":"Tracheomalacia and tracheobronchomalacia in children and adults: an in-depth review","volume":"127","author":"Carden","year":"2005","journal-title":"Chest"},{"key":"2022030915260398500_ivab100-B3","doi-asserted-by":"crossref","first-page":"512","DOI":"10.3389\/fped.2019.00512","article-title":"Medical management, and surgical treatment","volume":"7","author":"Kamran","year":"2019","journal-title":"Front Pediatr"},{"key":"2022030915260398500_ivab100-B4","doi-asserted-by":"crossref","first-page":"333","DOI":"10.1055\/s-0035-1559816","article-title":"An update on diagnosis of tracheomalacia in children","volume":"25","author":"Snijders","year":"2015","journal-title":"Eur J Pediatr Surg"},{"key":"2022030915260398500_ivab100-B5","doi-asserted-by":"crossref","first-page":"156","DOI":"10.1053\/j.sempedsurg.2016.02.008","article-title":"Pediatric tracheomalacia","volume":"25","author":"Fraga","year":"2016","journal-title":"Semin Pediatr Surg"},{"key":"2022030915260398500_ivab100-B6","doi-asserted-by":"crossref","first-page":"60","DOI":"10.3934\/genet.2016.1.60","article-title":"Congenital tracheal defects: embryonic development and animal models","volume":"3","author":"Sher","year":"2016","journal-title":"AIMS Genet"},{"key":"2022030915260398500_ivab100-B7","doi-asserted-by":"crossref","first-page":"1900382","DOI":"10.1183\/13993003.00382-2019","article-title":"ERS statement on tracheomalacia and bronchomalacia in children","volume":"54","author":"Wallis","year":"2019","journal-title":"Eur Respir J"},{"key":"2022030915260398500_ivab100-B8","doi-asserted-by":"crossref","first-page":"883","DOI":"10.1007\/s13312-018-1401-6","article-title":"Clinical characteristics and associated congenital lesions with tracheomalacia in infants","volume":"55","author":"Vijayasekaran","year":"2018","journal-title":"Indian Pediatr"},{"key":"2022030915260398500_ivab100-B9","doi-asserted-by":"crossref","first-page":"312","DOI":"10.1016\/S0003-4975(10)66245-5","article-title":"Tracheal compression by the innominate artery in children","volume":"8","author":"Mustard","year":"1969","journal-title":"Ann Thorac Surg"},{"key":"2022030915260398500_ivab100-B10","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1001\/jamaoto.2018.3276","article-title":"Diagnosis, classification, and management of pediatric tracheobronchomalacia: a review","volume":"145","author":"Choi","year":"2019","journal-title":"JAMA Otolaryngol Head Neck Surg"},{"key":"2022030915260398500_ivab100-B11","doi-asserted-by":"crossref","first-page":"906","DOI":"10.1007\/s00247-012-2367-5","article-title":"Tracheobronchomalacia in children: review of diagnosis and definition","volume":"42","author":"Tan","year":"2012","journal-title":"Pediatr Radiol"},{"key":"2022030915260398500_ivab100-B12","doi-asserted-by":"crossref","first-page":"573","DOI":"10.1016\/S0002-9610(02)01054-1","article-title":"Aortic suspension (aortopexy) for severe tracheomalacia in infants and children","volume":"184","author":"Weber","year":"2002","journal-title":"Am J Surg"},{"key":"2022030915260398500_ivab100-B13","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1186\/1824-7288-38-62","article-title":"Aortopexy for the treatment of tracheomalacia in children: review of the literature","volume":"38","author":"Torre","year":"2012","journal-title":"Ital J Pediatr"},{"key":"2022030915260398500_ivab100-B14","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1016\/j.jpedsurg.2013.09.036","article-title":"Surgical approaches to aortopexy for severe tracheomalacia","volume":"49","author":"Jennings","year":"2014","journal-title":"J Pediatr Surg"},{"key":"2022030915260398500_ivab100-B15","doi-asserted-by":"crossref","first-page":"508","DOI":"10.1089\/lap.2013.0376","article-title":"Early experience of thoracoscopic aortopexy for severe tracheomalacia in infants after esophageal atresia and tracheo-esophageal fistula repair","volume":"24","author":"Arnaud","year":"2014","journal-title":"J Laparoendosc Adv Surg Tech A"},{"key":"2022030915260398500_ivab100-B16","doi-asserted-by":"crossref","first-page":"309","DOI":"10.1053\/j.optechstcvs.2011.06.003","article-title":"Anterior Aortopexy for Tracheomalacia","volume":"16","author":"Elliott","year":"2011","journal-title":"Operative Tech Thorac Cardiovasc Surg"},{"key":"2022030915260398500_ivab100-B17","doi-asserted-by":"crossref","first-page":"585","DOI":"10.1093\/ejcts\/ezy076","article-title":"Aortopexy for the treatment of tracheobronchomalacia in 100 children: a 10-year single-centre experience","volume":"54","author":"Rijnberg","year":"2018","journal-title":"Eur J Cardiothorac Surg"},{"key":"2022030915260398500_ivab100-B18","doi-asserted-by":"crossref","first-page":"545","DOI":"10.1097\/PCC.0b013e3182070f6f","article-title":"Aortopexy as treatment for tracheo-bronchomalacia in children: an 18-year single-center experience","volume":"12","author":"Calkoen","year":"2011","journal-title":"Pediatr Crit Care Med"}],"container-title":["Interactive CardioVascular and Thoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/icvts\/article-pdf\/33\/3\/462\/42780643\/ivab100.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/icvts\/article-pdf\/33\/3\/462\/42780643\/ivab100.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,3,9]],"date-time":"2022-03-09T10:50:12Z","timestamp":1646823012000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/icvts\/article\/33\/3\/462\/6272140"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5,8]]},"references-count":18,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2021,5,8]]},"published-print":{"date-parts":[[2021,8,18]]}},"URL":"https:\/\/doi.org\/10.1093\/icvts\/ivab100","relation":{},"ISSN":["1569-9285"],"issn-type":[{"value":"1569-9285","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2021,9,1]]},"published":{"date-parts":[[2021,5,8]]}}}