|Title:||Airway Management and Transesophageal Echocardiographic Monitoring for Pulmonary Atery Sling.
|Keywords:||Pulmonary artery sling;Tracheal stenosis;Transesophageal echocardiography;Endobronchial tube||Issue Date:||1999||Journal Volume:||v.98||Journal Issue:||n.12||Start page/Pages:||863-865||Source:||JOURNAL OF THE FORMOSAN MEDICAL ASSOCIATION||Abstract:||
Pulmonary artery sling is an uncommon vascular anomaly and can be life threatening when it causes tracheal compression. We report on a 14-day-old boy who presented with espiratory distress soon after birth. A series of examinations showed tracheal stenosis due to a pulmonary artery sling. Surgery was performed with the aid of cardiopulmonary bypass. The external compression and intrisic stenosis could not be resolved by vascular surgery because of tracheal malacia and a complete tracheal ring. We recommend cutting extra holes 1 to 2 cm from the distal end of the endotracheal tube for endobronchial intubation. The airway obstruction was resolved successfully with a custom-made endobronchial tube. However, the patient died of pneumonediastinum and pneumothorax induced by barotrauma, on the fourthe operative day.
|Appears in Collections:||醫學系|
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