Tracheal Agenesis : A Case Report

  • HIRAKAWA Hitoshi
    Department of Surgery (Division of Pediatric Surgery), Tokai University School of Medicine
  • UENO Shigeru
    Department of Surgery (Division of Pediatric Surgery), Tokai University School of Medicine
  • YOKOYAMA Seishichi
    Department of Surgery (Division of Pediatric Surgery), Tokai University School of Medicine
  • SOEDA Jinichi
    Department of Surgery (Division of Pediatric Surgery), Tokai University School of Medicine
  • TAJIMA Tomoo
    Department of Surgery (Division of Pediatric Surgery), Tokai University School of Medicine
  • MITOMI Toshio
    Department of Surgery (Division of Pediatric Surgery), Tokai University School of Medicine
  • MAKUUCHI Hiroyasu
    Department of Surgery (Division of Pediatric Surgery), Tokai University School of Medicine

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Tracheal agenesis is a rare congenital anomaly which results inevitably in immediate respiratory distress after delivery. Since the first report of the case in 1900, more than 150 cases reported in the Japanese and world literature. Attempts to save these children have failed to permit survival although a slight prolongation of life was achieved in some. We treated a baby girl with tracheal agenesis associated with other multiple anomalies and surgical intervention was attempted but without success due to incorrectable anatomy. Herein we describe her clinical picture and autopsy findings. Along with a review of the Japanese literature, we discuss this rare anomaly in terms of its anatomy, associated anomalies, pathogenesis, and clinical management.

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