Linked Life Data

8334365

Source:http://linkedlifedata.com/resource/pubmed/id/8334365

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
1993-8-26
pubmed:abstractText
Patients with double aortic arch may require lengthy intubation for ventilatory support. The need for endotracheal and nasogastric intubation may be prolonged in such patients because of associated tracheomalacia. Iatrogenic tracheal or esophageal erosion with subsequent aortic fistulization is an unusual but catastrophic complication that may result from such intubation. We report the cases of 2 infants with double aortic arch and tracheomalacia who developed iatrogenic esophageal-aortic erosion. This complication was successfully managed in 1 of the infants. We conclude from our experience that the important steps in preventing this complication include 1) expediting the exclusion of upper-airway compromise in intubated infants who have a presentation characteristic of bronchospastic airway disease (hyperinflation and hypercapnia) that seems unresponsive to usual therapeutic measures; and 2) expediting the diagnosis of vascular ring in order to minimize the duration of dual tracheal and esophageal intubation. Effective management of this problem, once established, requires primary closure of the esophageal perforation, removal of the nasogastric tube, interposition of thick viable tissue between the esophagus and the aorta, and decompressive gastrostomy and feeding jejunostomy. Concomitant aortopexy may be appropriate.
pubmed:commentsCorrections
http://linkedlifedata.com/resource/pubmed/commentcorrection/8334365-1554267, http://linkedlifedata.com/resource/pubmed/commentcorrection/8334365-1570988, http://linkedlifedata.com/resource/pubmed/commentcorrection/8334365-2299545, http://linkedlifedata.com/resource/pubmed/commentcorrection/8334365-2624789, http://linkedlifedata.com/resource/pubmed/commentcorrection/8334365-2651808, http://linkedlifedata.com/resource/pubmed/commentcorrection/8334365-2922624, http://linkedlifedata.com/resource/pubmed/commentcorrection/8334365-3294850, http://linkedlifedata.com/resource/pubmed/commentcorrection/8334365-3555363, http://linkedlifedata.com/resource/pubmed/commentcorrection/8334365-3723303, http://linkedlifedata.com/resource/pubmed/commentcorrection/8334365-372685, http://linkedlifedata.com/resource/pubmed/commentcorrection/8334365-4745245, http://linkedlifedata.com/resource/pubmed/commentcorrection/8334365-6824368
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:issn
0730-2347
pubmed:author
pubmed:issnType
Print
pubmed:volume
20
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
126-9
pubmed:dateRevised
2009-11-18
pubmed:meshHeading
pubmed:year
1993
pubmed:articleTitle
Esophageal-aortic erosion associated with double aortic arch and tracheomalacia. Experience with 2 infants.
pubmed:affiliation
Section of Cardiothoracic Surgery, Medical College of Georgia, Augusta 30912-4040.
pubmed:publicationType
Journal Article, Case Reports