Abstract
We report a male neonatal case of congenital laryngeal atresia with type-D esophageal atresia. He was suspected of esophageal atresia because of hydramnion. He was delivered with a birth weight of 2,080 g, and his Apgar score was 1 at both postpartum 1 and 5 minutes. He was not crying and had severe cyanosis after birth. Endotracheal intubation was unsuccessful, although he could breathe stably with esophageal intubation. He was diagnosed with congenital laryngeal atresia with type-D esophageal atresia from findings of his X-ray, neck and chest computed tomography, and bronchoscopy. We performed tracheostomy when he was one day old. More than half of congenital laryngeal atresia cases reported in Japan have complications such as esophageal atresia and/or congenital cardiac anomaly, and we should examine the various etiological aspects and symptoms relevant to congenital laryngeal atresia to provide an appropriate medical treatment.
