Journal of the Japanese Society of Intensive Care Medicine
Online ISSN : 1882-966X
Print ISSN : 1340-7988
ISSN-L : 1340-7988
CASE REPORTS
An infant with severe congenital tracheal stenosis complicated with esophageal atresia and coarctation of the aorta
Ayano TaniguchiTakako UmenaiNobuaki ShimeYuko KatoSatoru Hashimoto
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2008 Volume 15 Issue 4 Pages 539-542

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Abstract
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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© 2008 The Japanese Society of Intensive Care Medicine
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