Tracheal agenesis: A clinical approach

Tracheal agenesis and associated malformations: A comparison with tracheoesophageal fistula and the VACTERL association

“…Tracheal agenesis appears to have been described first by Payne [ 19001; subsequently 41 other patients were reported [Walcher, 1928;Fritz, 1933;Benesova and Peter, 1934;Marek, 1940;Morison, 1949;Milles and Dorsey, 1950;Kessel and Smith, 1953;Sandison, 1955;Hempel, 1956;Devenis and Otis, 1957;Onarir and Sariyalcin, 1961;Floyd et al, 1962;Witzleben, 1963;Fonkalsrud et al, 1963;McCracken et al, 1964;Devi and More, 1966;Stowens, 1966;Colavecchio, 1968;Lyons and Bruce, 1968;Eimer, 1969;Joshi, 1969;McNie and Pryse-Davies, 1970;Altman et al, 1972;Hopkinson, 1972;Hong et al, 1973;Effman et al, 1975;Chaurasia, 1976;Warfel, 1976;Donovan and Friedman, 1979;Far0 et al, 1979;Buchino et al, 1982; DFC:23 24 Evans, Reggin, and Greenberg Haupt and Edwards, 19831. In these cases tracheal agenesis was partial or total and various classifications of this malformation have been described [Floyd et al, 1962;Faro et al, 1979;Kluth, 19761.…”

Securing the airway in a child with tracheal agenesis – an alternative perspective

“…Various types of homologous graft such as pericardium, oesophagus, and bladder as well as synthetic materials (silicone, elastane, Dacron) have been used to reconstruct the trachea, but with disappointing results [10,11]. The search for suitable materials for tracheal grafts has been unsuccessful so far.…”

“…Management of this uniformly lethal condition is controversial [10]. A rational approach is to maintain the infant alive until all the implications are assessed [12].…”

Tracheal agenesis: A case report

“…As an emergency procedure, ventilation may be maintained through a tube positioned proximal to the bronchooesophageal fistula [3]. A nasogastric tube is important to prevent overdistension of the stomach.…”

“…Tracheal agenesis is usually found in combination with other congenital defects, notably the' VACTERL association [8]. Death is inevitable within 6 weeks, usually due to pulmonary complications [3]. On account of wide tracheo-oesophageal fistulae it is probably the only condition where intubation of the oesophagus permits ventilation of both lungs, after tracheal intubation has proved impossible.…”