Document Detail

Airway management and transesophageal echocardiographic monitoring for pulmonary artery sling.
MedLine Citation:
PMID:  10634029     Owner:  NLM     Status:  MEDLINE    
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 respiratory 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 pneumomediastinum and pneumothorax induced by barotrauma, on the fourth postoperative day.
C R Lin; S K Tsai; M J Wang; I S Chiu; S J Chen
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of the Formosan Medical Association = Taiwan yi zhi     Volume:  98     ISSN:  0929-6646     ISO Abbreviation:  J. Formos. Med. Assoc.     Publication Date:  1999 Dec 
Date Detail:
Created Date:  2000-02-01     Completed Date:  2000-02-01     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9214933     Medline TA:  J Formos Med Assoc     Country:  CHINA (REPUBLIC: 1949- )    
Other Details:
Languages:  eng     Pagination:  863-5     Citation Subset:  IM    
Department of Anesthesiology, National Taiwan University Hospital, Taipei, Taiwan.
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MeSH Terms
Echocardiography, Transesophageal*
Infant, Newborn
Intubation, Intratracheal
Pulmonary Artery / abnormalities*,  ultrasonography
Trachea / ultrasonography
Tracheal Stenosis / etiology*,  therapy*,  ultrasonography

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