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- Title
External Esophageal Stenting Technique in Palliation for Tracheal Agenesis in a Case of Esophageal Lung: A Lesson Learned from the Experience for Tracheomalacia.
- Authors
Hirotani, Taichi; Tamura, Ryo; Ando, Makoto; Okajima, Hideaki
- Abstract
Tracheal agenesis (TA) is a rare congenital anomaly with an incidence of 1 per 50,000 newborns. It appears at birth with severe respiratory distress, cyanosis, and inaudible crying. Prompt esophageal intubation and long-term management of the esophageal airway are essential to overcome this catastrophic condition. In the long-term management, external stenting of the esophageal airway has been reported as promising to support the fragile esophageal wall; this technique was taken from the surgery for tracheomalacia. We experienced a case of an infant with tracheal agenesis whose respiratory status was stabilized after external esophageal stenting. The stenting was performed based on a lesson learned in the extensive experience in the surgical treatment for tracheomalacia, and the surgical techniques for successful stenting are herein described.
- Subjects
ESOPHAGEAL surgery; ESOPHAGEAL abnormalities; TRACHEAL surgery; TRACHEOTOMY; TRACHEOMALACIA; TETRALOGY of Fallot; THORACIC surgery; PULMONARY hypertension; SURGICAL stents; TRACHEA; PULMONARY artery; TREATMENT effectiveness; ARTIFICIAL respiration; BRONCHI; RESPIRATORY organ abnormalities; COMPUTED tomography; RECTUM abnormalities; CARDIOPULMONARY bypass; ENTERAL feeding; PALLIATIVE treatment; BRONCHOSCOPY
- Publication
Children, 2023, Vol 10, Issue 12, p1907
- ISSN
2227-9067
- Publication type
Article
- DOI
10.3390/children10121907