The challenging airway: Tracheal agenesis in the newborn

Author(s):  
A.P. Akhter ◽  
S.M. Donn

A preterm female presented with severe respiratory distress in the delivery room and was found to have tracheal agenesis with a tracheoesophageal fistula and a congenital heart defect. Tracheal agenesis is uncommon and is often associated with other congenital abnormalities. Although there are surgical options for repair, mortality remains high.

2020 ◽  
Vol 9 (1) ◽  
Author(s):  
Monika Pasieczna ◽  
Joanna Kuran-Ohde ◽  
Anna Kajdy ◽  
Dagmara Filipecka-Tyczka ◽  
Natalia Świątek ◽  
...  

Abstract Objectives To analyze pregnancy management and postnatal follow-up in monochorionic monoamniotic (MCMA) pregnancies complicated by a congenital heart defect (CHD) in one twin and to compare the results with current recommendations concerning time and mode of delivery in MCMA pregnancies. Cases presentation Perinatal medical records of five pairs of monoamniotic twins referred to Fetal Cardiology Department were analyzed. 5 out of 23 MCMA pregnancies (21.7%) were complicated by CHD in one fetus. Cesarean section (CS) was performed between 32 and 35 weeks of gestation (WoG). 9 out of 10 neonates had respiratory failure, including all patients with CHD. Twins without congenital abnormalities spent median 21 days (range 10–40 days) in neonatal units. Patients with CHD were transferred to cardiology departments on average 6th day of life. All were operated on later than term-born neonates, 4 out of 5 required stage surgery and their median stay in the hospital was 75 days (range 48–106 days). Conclusions According to current recommendations, delivery in MCMA pregnancies should be scheduled at 32–34 weeks. In cases complicated by CHD in one twin, such early delivery complicates surgical treatment and may affect the final outcome. Low body weight and respiratory disorders increase the risk of complications in the perioperative period and prolong hospitalization.


Author(s):  
Maria Cristina Digilio ◽  
Bruno Marino ◽  
Salvatore A. Canepa ◽  
Umberto Borzaga ◽  
Aldo Giannotti ◽  
...  

2016 ◽  
Vol 1 ◽  
pp. 68-71
Author(s):  
Ireneusz Haponiuk ◽  
Katarzyna Gierat-Haponiuk ◽  
Dominika Szalewska ◽  
Piotr Niedoszytko ◽  
Stanisław Bakuła ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document