[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.

[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.