An infant with severe congenital tracheal stenosis complicated with esophageal atresia and coarctation of the aorta

DOI 1 Citations 24 References
  • Taniguchi Ayano
    Department of Anesthesiology, Kyoto Prefectural University of Medicine
  • Umenai Takako
    Department of Anesthesiology, Kyoto Prefectural University of Medicine
  • Shime Nobuaki
    Department of Anesthesiology, Kyoto Prefectural University of Medicine Department of Intensive Care, University Hospital, Kyoto Prefectural University of Medicine
  • Kato Yuko
    Department of Anesthesiology, Kyoto Prefectural University of Medicine Department of Intensive Care, University Hospital, Kyoto Prefectural University of Medicine
  • Hashimoto Satoru
    Department of Anesthesiology, Kyoto Prefectural University of Medicine Department of Intensive Care, University Hospital, Kyoto Prefectural University of Medicine

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  • 食道閉鎖症，大動脈縮窄症に高度の先天性気管狭窄症を合併し，呼吸管理に難渋した1症例

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We present a rare case of an infant with life-threatening congenital tracheal stenosis with esophageal atresia and coarctation of the aorta. Airway management was very difficult due to large-bore and long residual esophageal fistula and extensive, severe tracheal stenosis. Furthermore, recurrent episode of tracheal granulation and pulmonary atelectasis exacerbated pulmonary gas exchange. Aggressive use of bronchofiber scope was considered to be essential for the diagnosis of ventilatory failure. The patient received tracheoplasty at 6 months, and is still been managed under mechanical ventilation.

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