Adult long-segment tracheal stenosis attributable to complete tracheal rings masquerading as asthma

Critical Care Medicine
Ramesh NagappanSimon Nazaretian

Abstract

a) To report on an adult patient with congenital long-segment tracheal stenosis from complete tracheal rings complicated by tracheomalacia; b) to highlight the fact that some patients with airway narrowing could be misdiagnosed as having bronchial asthma; and c) to discuss our management with a custom-made tracheostomy tube extending to the carina. Case report. A university hospital's 14-bed medical/surgical intensive care unit. A 21-yr-old patient, with a history of what was labeled as asthma, was admitted to the intensive care unit with diabetic ketoacidosis, pneumonia, respiratory failure, and septic shock. Her therapy included assisted mechanical ventilation through an endotracheal tube. Initially, a size 6.0 endotracheal tube was used. Finally, a custom-made tracheostomy tube extending to the carina was inserted to manage her persistent infantile trachea. During 4 months in the intensive care unit, she suffered numerous airway problems from her narrow trachea that were eventually attributed to congenital long-segment tracheal stenosis from complete tracheal rings. Bacterial pneumonia, viral tracheobronchitis, and tracheomalacia complicated her course. Multiple attempts at extubation failed and, after translaryngeal endotra...Continue Reading

References

Feb 1, 1991·Journal of Pediatric Surgery·C E BagwellJ J Tepas
Sep 1, 1990·Annals of Surgery·A A deLorimierN S Adzick
Nov 1, 1989·The Annals of Thoracic Surgery·V TsangP Goldstraw
Aug 1, 1988·Journal of Pediatric Surgery·D S LoeffA Bahoric
Sep 1, 1988·The Annals of Otology, Rhinology, and Laryngology·G B HealyT J McGill
Dec 1, 1987·Journal of Pediatric Surgery·T E LobeC J Richardson
Jan 1, 1987·Pediatric Radiology·R J Hernandez, G F Tucker
Dec 1, 1985·Journal of Pediatric Surgery·R C CohenC Smith
Aug 1, 1984·Journal of Pediatric Surgery·H C Grillo, P Zannini
Dec 1, 1982·Journal of Pediatric Surgery·K KimuraH Itoh
Dec 1, 1982·Journal of Pediatric Surgery·S H EinK Mancer
Sep 1, 1994·The Annals of Thoracic Surgery·H C Grillo
May 1, 1994·The Annals of Otology, Rhinology, and Laryngology·M E DunhamC Mavroudis
Sep 1, 1993·The Annals of Otology, Rhinology, and Laryngology·G Har-ElF E Lucente
Dec 16, 1998·International Journal of Pediatric Otorhinolaryngology·R A FaustF Rimell

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Citations

Jun 16, 2004·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·M K AneeshkumarR W Clarke
Oct 28, 2003·Journal of Cardiothoracic and Vascular Anesthesia·Jay B Brodsky
Jul 27, 2006·Southern Medical Journal·Michael H Catenacci
Mar 11, 2016·Annals of the American Thoracic Society·Sebastian GandoSebastian Fernandez-Bussy
May 15, 2013·Respiratory Medicine·Mazen O Al-QadiSidney S Braman
Oct 11, 2003·Clinics in Chest Medicine·Richard D Sue, Irawan Susanto
May 29, 2007·Journal of Thoracic Imaging·Phillip M BoiselleMalcolm M DeCamp
Oct 6, 2006·Current Opinion in Anaesthesiology·Jay B Brodsky
Jan 6, 2016·The Indian Journal of Surgery·Manouchehr AghajanzadehGilda Aghajanzadeh
Dec 18, 2016·Journal of Community Hospital Internal Medicine Perspectives·Ghaly Kerolus, Ossama Ikladios

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