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Review
. 2018 Mar;48(3):427-432.
doi: 10.1007/s00247-017-4024-5. Epub 2017 Nov 17.

Tracheal agenesis: optimization of computed tomography diagnosis by airway ventilation

Affiliations
Review

Tracheal agenesis: optimization of computed tomography diagnosis by airway ventilation

Marirosa Cristallo Lacalamita et al. Pediatr Radiol. 2018 Mar.

Abstract

Tracheal agenesis is a rare and often lethal congenital defect that leads to airway emergency at birth. Computed tomography (CT) is the modality of choice to evaluate anomalous tracheal anatomy. The absence of spontaneous aeration of the tracheobronchial tree in children with tracheal agenesis makes CT interpretation difficult. We describe a procedure of airway management applied in two newborns with suspected tracheal agenesis. Correct airway management was performed immediately prior to CT examination by airway ventilation, with bag-valve mask alone in one case, and attached to an endotracheal tube placed into the esophagus in the other case. The images allowed for classification of tracheal agenesis. Computed tomography with appropriate airway ventilation is fundamental for the diagnosis of tracheal agenesis.

Keywords: Airway ventilation; Computed tomography; Newborn; Tracheal agenesis; Tracheoesophageal fistula.

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