Tracheal agenesis (TA) is an extremely rare, typically fatal congenital tracheal malformation. Lack of prenatal symptoms and emergent presentation usually lead to a failure to arrive at the correct diagnosis and manage the airway properly before the onset of irreversible cerebral anoxia. Esophageal atresia (EA) encompasses a group of congenital anomalies comprising an interruption of the continuity of the esophagus with or without a persistent communication with the trachea. In 86% of cases, there is a distal tracheoesophageal fistula (TEF); in 7%, there is no fistulous connection, whereas in 4%, there is a TEF without atresia. We report the case of an infant born with TA and EA with proximal and distal bronchoesophageal fistulas. During 3 consecutive antenatal ultrasound examinations, there had been polyhydramniosis, difficulty visualizing the stomach, and dilatation of proximal esophagus, leading to a presumptive diagnosis of EA. The clinical presentation, embryology, classification, and surgical management are discussed.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.jpedsurg.2008.04.015 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
A case report of type II Floyd tracheal agenesis with staged tracheal and alimentary reconstructions.
Surg Case Rep
November 2024
Department of Gastroenterological Surgery and Pediatric Surgery, Gifu University Graduate School of Medicine, 1-1 Yanagido, Gifu City, Gifu Prefecture, 501-1194, Japan.
Article Synopsis
- Tracheal agenesis is a rare congenital condition, particularly type II Floyd tracheal agenesis, which often leads to poor survival rates, but a specific case shows potential for recovery after reconstruction.
- An infant, delivered early due to distress, was diagnosed with tracheal agenesis after unsuccessful intubation; he underwent various surgical procedures and was able to tolerate oral feeding upon discharge.
- Continuous and early detection of respiratory issues is essential, as challenges remain due to the absence of a trachea and complications like tracheal tube displacement, which can lead to serious outcomes.
Esophageal reconstruction in a case of tracheal agenesis.
Pediatr Int
September 2024
Department of Pediatric Surgery, Kobe Children's Hospital, Kobe, Japan.
Tracheal agenesis: the importance of teamwork in an uncommon pathology, challenging diagnosis, and high mortality-a case report.
Front Pediatr
July 2024
Servicio de Neonatología, Hospital Universitario 12 de Octubre, Madrid, Spain.
Article Synopsis
- The case involves a newborn diagnosed with tracheal agenesis, a rare condition usually found postmortem, emphasizing the importance of teamwork in early diagnosis through collaborative efforts among medical professionals.
- The infant faced severe respiratory issues at birth, where typical intubation methods failed, leading to an urgent fiberoptic procedure that confirmed the diagnosis and enabled temporary ventilation.
- Despite the initiation of complex treatment, including extracorporeal membrane oxygenation, the baby suffered a prolonged cardiorespiratory arrest and passed away shortly after birth, highlighting the critical role of multidisciplinary management in managing such medical emergencies.
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.
Pediatr Pulmonol
June 2024
Department of Pediatrics, Shin-Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan.
Article Synopsis
- - Tracheal agenesis is a rare birth defect where the trachea does not develop, but the presence of a tracheoesophageal fistula can sometimes assist with breathing in newborns.
- - The study reviewed three cases of neonates born with tracheal agenesis, where they showed severe cyanosis and failed intubation attempts, leading to successful esophageal intubation that improved their oxygen levels.
- - The findings suggest that immediate esophageal intubation can be a critical lifesaving measure for these infants, and clinicians should consider tracheal agenesis in newborns showing serious breathing difficulties and lack of vocalization.
Long- term outcomes of congenital tracheal stenosis after slide tracheoplasty.
Pediatr Surg Int
March 2024
Department of Pediatric Surgery, Kobe Children's Hospital, 1-6-7, Minatojima-minamimachi, Chuo-ku, Kobe-shi, Japan.
Article Synopsis
- - This study evaluated the long-term outcomes of slide tracheoplasty in 33 patients with congenital tracheal stenosis (CTS) over more than 5 years, focusing on patient characteristics and postoperative progress.
- - Results showed the average age of surgery was 8 months; while most patients improved in tracheal stenosis rates, some experienced growth issues and developmental delays, especially those with genetic abnormalities.
- - The findings suggest that while slide tracheoplasty is generally successful for CTS, careful monitoring and support are necessary for patients facing additional health challenges.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!