{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T20:21:51Z","timestamp":1787775711211,"version":"build-2784847793"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","license":[{"start":{"date-parts":[[2024,11,1]],"date-time":"2024-11-01T00:00:00Z","timestamp":1730419200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>This is a case of a 3-year-old child who presented with long-segment tracheal stenosis (LSTS) and complex congenital cardiovascular disease for surgical intervention. The ideal operation for this child will include slide tracheoplasty and multiple cardiac lesion repairs. However, the low birth weight and extremely young age present a dilemma as to whether to perform total repair simultaneously or in stages. Age and weight by which the first surgical procedure was done, cardiovascular abnormality details, preoperative respiratory support, preoperative tracheobronchomalacia, cardiopulmonary bypass, the complexity of the surgery, and preoperative extracorporeal membrane oxygenation support are known to be predictive factors of long-term outcomes. Comparative studies between simultaneous and staged operations have shown that it is best to manage children with LSTS and complex cardiovascular anomalies in stages.<\/jats:p>","DOI":"10.4103\/apc.apc_199_24","type":"journal-article","created":{"date-parts":[[2025,4,24]],"date-time":"2025-04-24T14:00:56Z","timestamp":1745503256000},"page":"444-447","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Management dilemma of a child with long-segment tracheal stenosis, double outlet right ventricle, and left pulmonary artery sling: For single or staged repair?"],"prefix":"10.4103","volume":"17","author":[{"given":"Gurpreet","family":"Singh","sequence":"first","affiliation":[{"name":"Department of Cardiothoracic Surgery, National Heart Institute, Kuala Lumpur, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna Marie","family":"Nathan","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, Faculty of Medicine, University Malaya, Kuala Lumpur, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Norazah","family":"Zahari","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, Faculty of Medicine, University Malaya, Kuala Lumpur, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khairul Anuar Bin Abdul","family":"Aziz","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, National Heart Institute, Kuala Lumpur, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,4,24]]},"reference":[{"key":"R1-20250424","doi-asserted-by":"crossref","first-page":"364","DOI":"10.1177\/000348948109000416","article-title":"Congenital tracheal stenosis","volume":"90","author":"Benjamin","year":"1981","journal-title":"Ann Otol Rhinol Laryngol"},{"key":"R2-20250424","doi-asserted-by":"crossref","first-page":"1184","DOI":"10.21037\/jtd.2019.10.42","article-title":"Congenital tracheal stenosis and associated cardiac anomalies:Operative management and techniques","volume":"12","author":"Sengupta","year":"2020","journal-title":"J Thorac Dis"},{"key":"R3-20250424","doi-asserted-by":"crossref","first-page":"269","DOI":"10.1093\/pch\/5.5.269","article-title":"Congenital long segment tracheal stenosis presenting with tachypnea","volume":"5","author":"Sheikh","year":"2000","journal-title":"Paediatr Child Health"},{"key":"R4-20250424","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1097\/00000658-199009000-00006","article-title":"Tracheobronchial obstructions in infants and children. Experience with 45 cases","volume":"212","author":"deLorimier","year":"1990","journal-title":"Ann Surg"},{"key":"R5-20250424","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1016\/0022-3468(91)90897-3","article-title":"Balloon dilatation of long-segment tracheal stenoses","volume":"26","author":"Bagwell","year":"1991","journal-title":"J Pediatr Surg"},{"key":"R6-20250424","doi-asserted-by":"crossref","first-page":"1783","DOI":"10.1016\/j.jtcvs.2014.02.069","article-title":"Outcomes of slide tracheoplasty in 101 children:A 17-year single-center experience","volume":"147","author":"Butler","year":"2014","journal-title":"J Thorac Cardiovasc Surg"},{"key":"R7-20250424","doi-asserted-by":"crossref","first-page":"333","DOI":"10.1080\/17425255.2023.2227556","article-title":"The influence of cardiopulmonary bypass on pediatric pharmacokinetics","volume":"19","author":"van","year":"2023","journal-title":"Expert Opin Drug Metab Toxicol"},{"key":"R8-20250424","doi-asserted-by":"crossref","first-page":"1889","DOI":"10.1016\/j.athoracsur.2020.01.034","article-title":"Staging of Surgical Procedures in Comorbid Congenital Tracheal Stenosis and Congenital Cardiovascular Disease","volume":"109","author":"Ramaswamy","year":"2020","journal-title":"Ann Thorac Surg"},{"key":"R9-20250424","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1016\/S0165-5876(99)00235-9","article-title":"Single-or-two-stage laryngotracheal reconstruction;comparison of outcomes","volume":"50","author":"Saunders","year":"1999","journal-title":"Int J Pediatr Otorhinolaryngol"},{"key":"R10-20250424","doi-asserted-by":"crossref","first-page":"325","DOI":"10.1016\/j.jpedsurg.2008.10.080","article-title":"Congenital tracheal stenosis:The prognostic significance of associated cardiovascular anomalies and the optimal timing of surgical treatment","volume":"44","author":"Okamoto","year":"2009","journal-title":"J Pediatr Surg"},{"key":"R11-20250424","doi-asserted-by":"crossref","first-page":"876","DOI":"10.1016\/j.jtcvs.2004.07.008","article-title":"Long-segment tracheal stenosis:Slide tracheoplasty and a multidisciplinary approach improve outcomes and reduce costs","volume":"128","author":"Kocyildirim","year":"2004","journal-title":"J Thorac Cardiovasc Surg"},{"key":"R12-20250424","doi-asserted-by":"crossref","first-page":"148","DOI":"10.1016\/j.athoracsur.2019.06.042","article-title":"Pediatric tracheal surgery:A 25-year review of slide tracheoplasty and tracheal resection","volume":"109","author":"Stephens","year":"2020","journal-title":"Ann Thorac Surg"},{"key":"R13-20250424","doi-asserted-by":"crossref","first-page":"537","DOI":"10.1093\/ejcts\/ezu196","article-title":"Clinical outcomes of slide tracheoplasty in congenital tracheal stenosis","volume":"47","author":"Chung","year":"2015","journal-title":"Eur J Cardiothorac Surg"},{"key":"R14-20250424","doi-asserted-by":"crossref","first-page":"1187","DOI":"10.1016\/j.athoracsur.2007.11.019","article-title":"Slide tracheoplasty in infants and children:Risk factors for prolonged postoperative ventilatory support","volume":"85","author":"Manning","year":"2008","journal-title":"Ann Thorac Surg"}],"container-title":["Annals of Pediatric Cardiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/apc.apc_199_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T19:40:02Z","timestamp":1787773202000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/apc.apc_199_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11]]},"references-count":14,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.4103\/apc.apc_199_24","relation":{},"ISSN":["0974-2069","0974-5149"],"issn-type":[{"value":"0974-2069","type":"print"},{"value":"0974-5149","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,11]]},"assertion":[{"value":"2024-10-27","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-03-13","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}