Agenesis of a trachea in a severely premature newborn
Authors:
K. Žilinská 1; R. Brabec 1; M. Jurovčík 2; J. Janota 1
Authors‘ workplace:
Novorozenecké oddělení s JIRP, Gynekologicko-porodnická klinika 2. LF UK a FN Motol, Praha
1; Klinika ušní, nosní, krční 2. LF UK a FN Motol, Praha
2
Published in:
Čes-slov Neonat 2024; 30 (1): 46-48.
Category:
Reviews
Overview
Tracheal agenesis is an extremely rare congenital malformation with high mortality rate that is often associated with other congenital malformations. It is a defect that is difficult to diagnose prenatally with the postpartum development of severe respiratory distress syndrome, usually requiring cardiopulmonary resuscitation with urgent airway management. If this diagnosis is suspected, intubation into the esophagus is a possible short-term solution, however, only if a tracheo or bronchoesophageal fistula is present. Confirmation of the diagnosis should take place in the presence of a pediatric otorinolaryngologist at a specialized unit, but the diagnosis is often established post mortem. The authors present a case of a severely premature newborn from an unmonitored pregnancy with postnatal respiratory failure based on a tracheal agenesis with tracheoesophageal fistula.
Keywords:
prematurity – tracheal agenesis – tracheoesophageal fistula
Sources
- Bresciani L, Grazioli P, Bosio R, Chirico G, Zambelloni C, et al. Neonatal respiratory distress and airway emergency: Report of two cases [online]. Children 2021; 8(4): 255. Dostupné z: https:// doi.org/10.3390/children8040255.
- Cansaran S, Gül C, Mohamed SS, Celayir A. A unique case with tracheal atresia among published literature on TACRD and VACTERL associations [online]. J Behcet Uz Child Hosp 2023; 13(2): 142−145. Dostupné z: https://doi.org/10.4274/buchd. galenos.2023.76736.
- Gaál V, Vida L, Adamovich K, Mosdósi B, Tárnok A. Tracheal agenesis: A rare cause of inability to secure the airways in a newborn [online]. Otolaryngol Case Rep 2020; (17): 100243. Dostupné z: https://doi.org/10.1016/j.xocr.2020.100243.
- Georgescu T, Radoi V, Radulescu M, Ilian A, Toader OD, et al. Prenatal diagnosis and outcome of tracheal agenesis as part of congenital high airway obstruction syndrome: Case Presentation and Literature Review [online]. Medicine 2021; 57(11): 1253. Dostupné z: https://doi.org/10.3390/medicina57111253.
- Lee NM, Yi DY, Yun SW, Chae SA, Lim IS. Tracheal atresia with a cephalically developed lung bud [online]. Medicine 2019; 98(18): e15397. Dostupné z: https://doi.org/10.1097/ MD.0000000000015397.
- Perri A, Patti ML, Sbordone AM, Vento G, Luciano R. Unexpected tracheal agenesis with prenatal diagnosis of aortic coarctation, lung hyperecogenicity and polyhydramnios: A case report [online]. Ital J Pediatr 2020; 46(1): 96. Dostupné z: https:// doi.org/10.1186/s13052-020-00861-0.
- Wei JL, Rodeberg D,Thompson DM. Tracheal agenesis with anomalies found in both VACTERL and TACRD associations. Online. Int J Pediatr Otorhinolaryngol 2003; 67(9): 1013–1017. ISSN 01655876. Dostupné z: https://doi.org/10.1016/S0165-5876(03)00180-0.
Konflikt zájmu: žádný. Došlo do redakce: 1. 3. 2024
Adresa pro korespondenci:
MUDr. Kristýna Žilinská
Novorozenecké oddělení s JIRP
Gynekologicko-porodnická klinika 2. LF UK a FN Motol
V Úvalu 84
150 06 Praha 5
e-mail: kristyna.zilinska@fnmotol.cz
Labels
Neonatology Neonatal NurseArticle was published in
Czech and Slovak Neonatology
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