2013 Volume 33 Issue 2 Pages 247-252
We present a case of congenital esophageal atresia associated with subglottic stenosis in a newborn infant. On the day of birth, a gastrostomy was planned under general anesthesia. Following induction, mask ventilation was possible, though airway management was difficult during intubation and respiratory care was converted to a laryngeal mask airway prior to the end of the operation. However, respiratory state remained unstabilized, so a tracheostomy was performed the next day. Prior to that procedure, subglottic stenosis was shown by bronchofiberscope and 3D computed tomography findings. During the tracheostomy, respiratory management was performed with a laryngeal mask airway. Although tracheomalacia also emerged and management with a tracheostomy tube was troublesome, after stabilizing the respiratory condition a radical operation was performed at 85 days of age.