Life-threatening anoxic spells caused by tracheal compression after repair of esophageal atresia: Correction by surgery
| Autor: | Pedro J. Rossello, Robert M. Filler, Robert L. Lebowitz |
|---|---|
| Rok vydání: | 1976 |
| Předmět: |
Male
Aortic arch medicine.medical_specialty Apnea Stridor Tracheoesophageal fistula Constriction Pathologic Postoperative Complications medicine.artery medicine Humans Esophagus Hypoxia Esophageal Atresia Esophageal Obstruction Tracheal Diseases business.industry Infant Aortopexy General Medicine medicine.disease Surgery medicine.anatomical_structure Child Preschool Anesthesia Atresia Pediatrics Perinatology and Child Health medicine.symptom business Tracheoesophageal Fistula |
| Zdroj: | Journal of Pediatric Surgery. 11:739-748 |
| ISSN: | 0022-3468 |
| DOI: | 10.1016/0022-3468(76)90098-1 |
| Popis: | Three infants who developed anoxic spells 2, 5, and 20 mo following repair of esophageal atresia developed apneic spells during or within a few minutes of feeding. These episodes began with stridor and cyanosis; when severe, they progressed to apnea and loss of consciousness. Mouth-to-mouth resuscitation was often necessary. Investigations failed to detect esophageal obstruction and/or a recurrent tracheoesophageal fistula. No neurologic or cardiac abnormalities were found. The cause was compression of a 1- to 3-cm segment of trachea anteriorly by a vascular structure and posteriorly by a dilated esophagus that emptied slowly because of poor motility. Endoscopy confirmed the x-ray findings. The aortic arch and innominate artery were suspended to the sternum anteriorly, which relieved the apneic spells in all patients. |
| Databáze: | OpenAIRE |
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