| Anesthetic Management of a Child with Tracheomalacia for Aortopexy: A Case Report. |
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Kyu Dae Shim, Jung In Lee, Chul Ho Chang, Young Taek Nam |
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Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine, Seoul, Korea. ytnam@yumc.yonsei.ac.kr |
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| Abstract |
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Tracheomalacia is an uncommon disease but an important cause of respiratory distress in children. Tracheomalacia is often associated with other defects, such as esophageal atresia, tracheoesophageal fistula or paratracheal tumor.
Rigid bronscopy is used to confirm tracheomalacia, and aortopexy may be applied for surgical intervention. We experienced a case of a 10 month old male infant with tracheomalacia who had undergone tracheoesophageal fistula correction 2 days after birth. Tracheomalacia was diagnosed under rigid bronchoscopy, and the tracheal wall was compressed in accordance with respiration. After aortopexy, the patient breathed smoothly and was discharged after 9 days uneventfully. Aortopexy does not seem to be familiar with pediatric anesthesiologists. We report this case with references as we were unable to find any case report about this maneuver. |
| Key Words:
aortopexy; tracheoesophageal fistula; tracheomalacia |
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