Surgical timing for asphyxiating thoracic dystrophy

Abstract

This report describes a 4-year-old girl diagnosed with asphyxiating thoracic dystrophy who experienced severe respiratory distress and multiple complications after undergoing a corrective operation for a thoracic deformity. The optimal age for children with asphyxiating thoracic dystrophy to receive a corrective operation is between 6 and 12 years old. For children under 6 years old, the decision to undergo an operation should be carefully evaluated.

Keywords: Asphyxiating thoracic dystrophy; Surgical timing; Thoracic deformity corrective surgery; Weaning from mechanical ventilation.

Figure 1:

(a)Preoperative and (b)postoperative radiologic diagnosis using computed tomography; Radiologic diagnosis using digital radiology. (c) Four days postoperatively:1.Bilateral ribs show internal fixation with visible metal density. 2. light exudation in the lower left lung, suggestive of an inflammatory process. 3. The heart is mildly enlarged. (d) 93 days postoperatively: The lesions in both lungs were absorbed compared to before the operation; preoperative (e) and postoperative (f) thoracic photos.