External Esophageal Stenting Technique in Palliation for Tracheal Agenesis in a Case of Esophageal Lung: A Lesson Learned from the Experience for Tracheomalacia

Autor: Taichi Hirotani, Ryo Tamura, Makoto Ando, Hideaki Okajima
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Children, Vol 10, Iss 12, p 1907 (2023)
Druh dokumentu: article
ISSN: 2227-9067
DOI: 10.3390/children10121907
Popis: 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.
Databáze: Directory of Open Access Journals