Agenesis of a trachea in a severely premature newborn

Czech version

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

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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