Progress in Pediatric Surgery Volume 27 Co-founding Editor: P. P. Rickham Editors: T. A. Angerpointner M. W. L. Gauderer . W. Ch. Hecker J. Prevot . L. Spitz U. G. Stauffer . P. Wurnig Paediatric Thoracic Surgery Volume Editors N. A. Myers and T. A. Angerpointner With a Foreword by A. W. Auldist With 80 Figures and 44 Tables Springer-Verlag Berlin Heidelberg GmbH NATHANIEL A. MYERS AM, MD, FRCS, FRACS Royal Children's Hospital Melbourne Flemington Road, Parkville, Victoria, 3052 Australia Priv.-Doz. Dr. THOMAS A. ANGERPOINTNER ZenettistraBe 48/III, D-8000 Munich 2 (W) Federal Republic of Germany Volumes 1-17 of this series were published by Urban & Schwarzenberg, Baltimore-Munich ISBN 978-3-642-87769-8 ISBN 978-3-642-87767-4 (eBook) DOI 10.1007/978-3-642-87767-4 Library of Congress Cataloging-in-Publication Data Paediatric thoracic surgery 1v olume editors, N. A. Myers and T. A. Angerpointner; with foreword by A. W. Auldist. p. cm. - (Progress in pediatric surgery; v. 27) Includes bibliographical references and index. (alk. paper) - (alk. paper) 1. Chest- Surgery. 2. Children- Surgery. I. Myers, N.A. (Nathaniel A.), 1922- . II. Angerpointner, Thomas. III. Series. [DNLM: 1. Thoracic Surgery- in infancy & childhood. W1 PR677KA v. 271 WF 980 P126] RD137.A1P7 voi. 27 [RD536] 617'.98 s- dc20 [617.5'4059] DNLM/DLC for Library of Congress 91-4594 CIP This work is subject to copyright. Ali rights are reserved, whether the whole or part of the mate- rial is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in other ways, and storage in data banks. Duplica- tion of this publication or parts thereof is only permitted under the provisions of the German Copyright Law of September 9, 1965, in its current version, and a copyright fee must always be paid. Violations fali under the prosecution act of the German Copyright Law. © Springer-Verlag Berlin Heidelberg 1991 Originally published by Springer-Verlag Berlin Heidelberg New York in 1991 Softcover reprint ofthe hardcover lst edition 1991 The use of registered names, trademarks, etc. in this publication does not imply, even in the ab- sence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. Product liability: The publisher can give no guarantee for information about drug dosage and application thereof contained in this book. In every individual case the respective user must check its accuracy by consulting other pharmaceuticalliterature. 23/3145-543210 Printed on acid-free paper Dedication This volume is dedicated to Russell Howard, ED, MD, FRCS, FRACS, MRCOG in recognition of his leadership, wisdom and surgical skill Foreword This volume of Progress in Pediatric Surgery has been produced at a time when medical progress is frequently measured in terms of techno- logical advances. Important as they are it is essential to remember that soundly based clinical skills are necessary in order to plan all aspects of therapy, both medical and surgical. Bedside evaluation combined with the results of investigation should enable a definite diagnosis or differ- ential diagnosis to be made and thus point the way to appropriate treat- ment. In this context the articles in this volume concentrate on the clinical aspects of a variety of thoracic problems and at the same time include papers devoted to history, nursing aspects and basic science, all of which are important in understanding and planning patient manage- ment. The contributions are largely from the clinical school of the Royal Children's Hospital, Melbourne, which is the paediatric teaching in- stitution for the University of Melbourne and the Royal Australasian College of Surgeons. The contributors have independently presented their views and experience and the volume is richer for the additional contributions from Sydney and Denver. It is important to recognize that special training and skills are required of the paediatric surgeon who operates on babies and children with a thoracic surgical problem. A. W. AULDlsT Melbourne, Australia Contents Introduction. N. A. MYERS and T. A. ANGERPOINTNER 1 Historical Aspects. J. H. T. CHANG. With 6 Figures 5 Nursing Perspectives in the Management of Infants and Children Requiring Thoracic Surgery. H. TELFER and S. WILLIS. With 3 Figures ............. 30 Influence of Anatomy and Physiology on the Management of Oesophageal Atresia. S. W. BEASLEY. With 4 Figures ....... . 53 Cervical, Cervicomediastinal and Intrathoracic Lymphangioma. M. J. GLASSON and S. F . TAYLOR. With 8 Figures . . . . . . . .. 62 Intralobar Pulmonary Sequestration. M.KENT. With 3 Figures ..... 84 Mediastinal Masses in Childhood: A Review from a Paediatric Pathologist's Point of View. I. SIMPSON and P. E. CAMPBELL. With 2 Figures ..... . 92 Unusual Varieties of Diaphragmatic Herniae. K. B. STOKES. With 5 Figures ......... ......... 127 Current Status of Cardiac Surgery in Childhood. R.B.B.MEE ................. . .. 148 An Approach to the Management of Chest Wall Deformities. N. A. MYERS. With 6 Figures ...... . . . . . . . .. .. 170 Unusual Problems in Oesophageal Surgery in Childhood. N.A.MYERS. With 33 Figures .................. 191 x Contents Magnetic Resonance Imaging as a New Diagnostic Criterion in Paediatric Airway Obstruction. U.HOFMANN, D.HoFMANN, T. VOGL, C.WILIMZIG, and K.MANTEL. With 5 Figures .......................... 221 Tracheal Stenosis by Innominate Artery Compression in Infants: Surgical Treatment in 35 Cases. T. SCHUSTER, W. Ch. HECKER, E. RING-MROZIK, K. MANTEL, and T. VOGL. With 4 Figures .............. .... 231 Indication and Results of Thoracic Surgical Procedures in Premature Infants. E. RING-MROZIK, W. Ch. HECKER, C. HUTTERER, and D. HOFMANN. With 1 Figure . . . . . . . . . . . . . . . . . . . . . . . . . . . 244 Subject Index . . . . . . . . . . . . . . . . . . . . . . . . . . . 251 Editors Angerpointner, T.A., Priv.-Doz. Dr. ZenettistraBe 48/III, D-8000 Munchen 2 (W) Gauderer, Michael, W. L., MD Rainbow Babies and Childrens Hospital, 2074 Abington Road Cleveland, OH 44106, USA Hecker, W. Ch., Prof. Dr. Kinderchirurgische Klinik im Dr. von Haunerschen Kinderspital der Universitat Munchen, LindwurmstraBe 4 D-8000 Munchen 2 (W) Prevot, J., Prof. Clinique Chirurgical Pediatrique, Hopital d'Enfants de Nancy F-54511 Vandcevre Cedex Rickham, P. P., Prof. Dr. MD, MS, FRCS, FRCSI, FRACS, DCH, FAAP Universitatskinderklinik, Chirurgische Abteilung SteinwiesstraBe 75, CH-8032 Zurich Spitz, L., Prof., PhD, FRCS, Nuffield Professor of Pediatric Surgery Institute of Child Health, University of London Hospital for Sick Children, Great Ormond Street, 30 Guilford Street GB-London WC1N lEH Stauffer, U. G., Prof. Dr. Universitatskinderklinik, Kinderchirurgische Abteilung SteinwiesstraBe 75, CH-8032 Zurich Wurnig, P., Prof. Dr. Facharzt fUr Chirurgie und Kinderchirurgie Schellinggasse 12, A-lOlO Wien