Tracheal agenesis: perioperative management of one stage correction

Bober, Klaudiusz; Musialik-Swietlińska, Ewa; Adamiec‐Poniewierka, Ewa; Pająk, Jacek; Bielecki, Ireneusz; Koszutski, Tomasz; Wiecek-Włodarska, D; Goc, Barbara; Szydłowski, Lesław; Swietliński, Janusz

doi:10.1111/j.1460-9592.2008.02586.x

Cited by 5 publications

(3 citation statements)

References 3 publications

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“…In one case of Faro type E tracheal agenesis reported by Bober et al a Teflon allograft was applied to reconstruct the airway. However, the infant expired due to severe postoperative infection 14 . In a case series from Japan, a cervical esophagostomy using a tracheostomy tube was performed to secure the airway on the day of birth.…”

Section: Discussionmentioning

confidence: 99%

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Rare type of tracheal agenesis: Unexpected presentation and immediate consideration of emergent esophageal intubation in neonatal resuscitation program. Case reports and review of the literature

Wu,

Hsiao,

Chen

et al. 2024

Pediatric Pulmonology

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BackgroundTracheal agenesis, or tracheal atresia, is a rare congenital anomaly. The presence of a tracheoesophageal fistula (TEF) can help with breathing for newborns with tracheal agenesis. In this article, we presented three unique cases and outcomes of neonates with tracheal agenesis along with a review of the literature.MethodsThis study consisted of a single center case series followed by a review of literature. Case reports were generated using both written and electronic medical records from a single hospital. We summarized three unique cases and outcomes of neonates with tracheal agenesis and performed a review of the literature.ResultsWe identified three cases of tracheal agenesis presented with severe cyanosis without spontaneous crying upon birth. Experienced pediatricians attempted to intubate the babies but were unsuccessful. Endotracheal tubes were subsequently either accidentally or purposely placed into the esophagus, and oxygen saturation levels improved. This suggested tracheal agenesis with TEF. Two cases underwent surgical intervention after resuscitation with esophageal intubation.ConclusionEsophageal intubation may be a life‐sustaining ventilation support for patients with tracheal agenesis and TEF at initial resuscitation. Clinicians should suspect tracheal agenesis when a newborn presents with severe cyanosis and voiceless crying upon birth, and esophageal intubation should be immediately attempted.

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Section: Discussionmentioning

confidence: 99%

“…However, the infant expired due to severe postoperative infection. 14 In a case series from Japan, a cervical esophagostomy using a tracheostomy tube was performed to secure the airway on the day of birth. Part of the esophagus was used as a substitute for the trachea, and enteral nutrition was administered using a gastrostomy.…”

Section: Operation Strategiesmentioning

confidence: 99%

Rare type of tracheal agenesis: Unexpected presentation and immediate consideration of emergent esophageal intubation in neonatal resuscitation program. Case reports and review of the literature

Wu,

Hsiao,

Chen

et al. 2024

Pediatric Pulmonology

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“…TA can also be a part of Fraser syndrome, which is caused by mutations in FRAS1 and FREM2 genes [ 7 ]. Abnormal development of the larynx in combination with or without a TOF or other tracheal problems is also observed in several rare syndromes and in cases of chromosomal aneuploidy or interstitial (micro)deletions or (micro)duplications [ 5 ]. In one case, a de novo abnormal karyotype was found ( mos 47,XY + mar (43,3)/46,XY (56,5) ) as both parents had a normal karyotype.…”

Section: Discussionmentioning

confidence: 99%

Tracheal agenesis: approach towards this severe diagnosis. Case report and review of the literature

et al. 2011

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Tracheal agenesis (TA) is a severe congenital disorder with often an unexpected emergency presentation. There is complete or partial absence of the trachea below the larynx, with presence or absence of a tracheoesophageal fistula (TOF). A neonate with TA is described, and another 48 cases found in literature are reviewed. Due to absence of a TOF, five cases were diagnosed prenatally because of congenital high airway obstruction syndrome (CHAOS). When a TOF is present, polyhydramnion and several other congenital malformations seen on the ultrasound examination should alert clinicians of potential tracheal problems. Prenatal magnetic resonance imaging (MRI) may provide a definitive diagnosis. Postnatal diagnosis is based on recognition of specific clinical signs in the newborn with TA: respiratory distress with breathing movement without appropriate air entry, no audible cry, and failed endotracheal intubation. Despite progress in surgical interventions, mortality remains high. Prenatal diagnosis of TA is possible, but only if a TOF is absent resulting in CHAOS. Prenatal diagnosis of polyhydramnion and other congenital malformation should alert clinicians of potential tracheal problems. Prenatal MRI may provide a definitive diagnosis.

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Clinical presentation and airway management of tracheal atresia: A systematic review

Smith

Huang

Labbé

et al. 2017

International Journal of Pediatric Otorhinolaryngology

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Tracheal agenesis: perioperative management of one stage correction

Cited by 5 publications

References 3 publications

Rare type of tracheal agenesis: Unexpected presentation and immediate consideration of emergent esophageal intubation in neonatal resuscitation program. Case reports and review of the literature

Rare type of tracheal agenesis: Unexpected presentation and immediate consideration of emergent esophageal intubation in neonatal resuscitation program. Case reports and review of the literature

Tracheal agenesis: approach towards this severe diagnosis. Case report and review of the literature

Clinical presentation and airway management of tracheal atresia: A systematic review

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