[Surgical treatment of intrathoracic compression of respiratory ways caused by mediastinal teratocarcinoma in children]. / Khirurgicheskoe lechenie vnutrigrudnoi kompressii dykhatel'nykh putei, obuslovlennoi teratodermoidnoi opukhol'iu sredosteniia, u detei.

Twelve children with mediastinal teratodermoid tumor, causing intrathoracic compression of respiratory ways (ITCRW) in 8 of them, were treated in clinic. In 75% of children with ITCRW the conduction of special preoperative preparation was necessary. All the patients were operated on. Tumor was removed en bloc or using the fragmentation method. In secondary tracheomalacia the anterior aortopexy for the tracheal lumen preservation was done simultaneously.

[Surgical treatment of bronchogenic and enterogenic mediastinal cysts complicated by intrathoracic compression of respiratory tracts in children]. / Khirurgicheskove lechenie bronkhogennoi i énterogennoi kisty sredosteniia, oslozhnennoi vnutrigrudnoi kompressiei dykhatel'nykh putei, u detei.

In the clinic there were operated on 8 patients with bronchogenic and enterogenic mediastinal cyst, complicated by intrathoracic compression of respiratory ways. In 2 children postoperative complications occurred. In presence of secondary tracheomalacia, caused by tracheal compression by bronchogenic cyst, aortopexy was done in conjunction with the cystic formation excision. All the patients survived. In 6 children satisfactory result was noted, in 2--relatively satisfactory one.

[Intrathoracic compressions of the respiratory tract due to a double aortic arch in children]. / Vnutrigrudnye kompressii dykhatel'nykh putei, obuslovlennye dvoinoi dugoi aorty u detei.

Overall, twenty-eight children with intrathoracic airway compressions (IAC) caused by double aortic arch (DAA), who ranged 1.5 months to eleven years old, were kept under medical surveillance. The following respiratory symptoms were found to dominate the clinical picture in the above pediatric patient population: stridor, dyspnea, bouts of asphyxia, orthopnea, with secondary bronchopulmonary complications having been disclosed in all. The diagnosis of IAC and its complications in DAA was based on findings from thoracic roentgenography, esophagography, digital subtraction angiography, and tracheobronchoscopy. This pathology surgical correction indications were unquestionable. The policy has been worked out of treating DAA-associated IAK through surgery, with particular regard to the anatomical variants of the defect under question and its complications.

[Diagnosis and treatment of secondary tracheomalacia in intrathoracic compression of respiratory tracts caused by vascular ring anomaly in children]. / Diagnostika i lechenie vtorichnoi trakheomaliatsii pri vnutrigrudnoi kompressii dykhatel'nykh putei, obuslovlennoi anomaliei sosudistogo kol'tsa u detei.

There were 48 children examined, aged from 1,5 mo to 14 yrs with the respiratory ways intrathoracic compression, caused by the vascular ring anomalies. In 21 (43.7%) patients the secondary tracheomalacia (ST) was revealed. In diagnosis of ST the data of morphological and histological investigation were used. Methods of surgical and conservative treatment of ST was elaborated.

[Surgical correction of intrathoracic compression of respiratory ways due to double aortal arch in children]. / Khirurgicheskaia korrektsiia vnutrigrudnoi kompressii dykhatel'nykh putei, obuslovlennoi dvoinoi dugoi aorty, u detei.

In 1982-1999 period 49 children aged 1.5 mo-14 yrs with vascular ring anomaly were examined. In 28 of them the double aortal arch (DAA), causing intrathoracic compression of respiratory ways, was revealed. Surgical correction of DAA was done in 27 patients. Optimal surgical access is left-sided lateral thoracotomy along third or fourth intercostal space. Tactics of surgical intervention was differentiated one depending on anatomo-topographic peculiarities of aortal arch morphology, its branches and age of a child. Aortopexy was done together with vascular failure correction for concomitance with secondary tracheomalacia and Kommerel's diverticulum.

[Secondary bronchopulmonary complications and their treatment in vascular ring anomaly in children]. / Vtorichnye bronkholegochnye oslozhneniia i ikh lechenie pri anomalii sosudistogo kol'tsa u detei.

In 47 children aged from 1.5 mo to 14 years with various variants of the vascular ring anomaly the peculiarities of diagnosis and treatment of secondary bronchopulmonary complications were studied. In untimely diagnosis of vascular ring the chronical inflammatory bronchopulmonary diseases may occur, up to bronchiectases formation, demanding correction not only of vascular pathology but the affected part of pulmonum resection as well.

[Errors and hazards in the surgical treatment of vascular tumors of the mediastinum contributing to the respiratory tract compression in children]. / Oshibki i opasnosti v khirurgicheskom lechenii sosudistykh opukholei sredosteniia, obuslovlivaiushchikh kompressiiu dykhatel'nykh putei u detei.

Examination and treatment of 16 children with vascular tumor of mediastinum ageing from 22 days to 11 years was conducted. In 12 patients the respiratory ways compression was noted. The mistakes and dangers while tumor excision were analysed, the methods of their prophylaxis using special technical tricks while performing the operation were elaborated.

[Intrathoracic compression of the respiratory tracts caused by broncho- and enterogenic mediastinal cysts in children]. / Vnutrigrudnye kompressii dykhatel'nykh putei, obuslovlennye bronkho- i énterogennymi kistami sredosteniia u detei.

Over the period 1983-1999 examination was done together with a surgical treatment of ten children with bronchogenic (BG) and enterogenic (EG) cysts of the mediastinum, their ages ranging between 2 months to 13 years, having been kept under medical surveillance in the clinic for thoracoabdominal surgery of developmental anomalies in children. In 80 percent of patients intrathoracic compression of the respiratory tracts caused by the above cysts was diagnosed. 87.5 percent of patients had inflammatory bronchopulmonary problems, 12.5 percent had secondary tracheomalacia as complications of BG and EG cysts. BG and EG complications of the mediastinum affect the outcome of surgical treatment.

[The role of developmental disorders of the respiratory, digestive and vascular systems in pathology of the lungs in children]. / Rol' porokov razvitiia dykhatel'noi, pishchevaritel'noi i sosudistoi sistem v patologii legkikh u detei.

The results of diagnosis and treatment of bronchopulmonary pathology in 680 children were analysed. It was found that besides developmental anomalies of the lungs and trachea, those of the esophagus, mediastinal organs, diaphragm, and the aorta and its vessels play an important role in the pathogenesis of pulmonary diseases in infants and young children. Traditional and special methods of examination must be used in the diagnosis of these developmental anomalies. Timely correction of the developmental anomalies makes it possible to arrest the bronchopulmonary complications which are associated with them.