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Guido Oppido
Carlo Pace Napoleone
Antonino Loforte
Gaetano Gargiulo
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J Thorac Cardiovasc Surg 2004;127:283-285
© 2004 The American Association for Thoracic Surgery

Brief communication

Complex double-outlet right ventricle repair in a neonate with complete tracheal agenesis

Guido Oppido, MDa,*, Carlo Pace Napoleone, MDa, Antonino Loforte, MDa, Simonetta Baroncini, MDb, Mario Lima, MDc, Gaetano Gargiulo, MDa

a Department of Pediatric Cardiac Surgery,, S. Orsola-Malpighi Hospital, University of Bologna Medical School, Bologna, Italy
b Department of Pediatric Anesthesiology,, S. Orsola-Malpighi Hospital, University of Bologna Medical School, Bologna, Italy
c Department of Pediatric Surgery, S. Orsola-Malpighi Hospital, University of Bologna Medical School, Bologna, Italy

Received for publication May 21, 2003; accepted for publication June 18, 2003.

* Address for reprints: Guido Oppido, MD, Department of Pediatric Cardiac Surgery, Ospedale S. Orsola-Malpighi, Via Massarenti, n.9, 40138 Bologna, Italy
guidooppido@yahoo.com

The first 20% of the full text of this article appears below.


Dr Oppido


Tracheal agenesis is a rare malformation with fatal consequences in very early life. We report the case of a baby girl with tracheal agenesis who during early infancy underwent complete repair of her associated {S,D,D} double-outlet right ventricle with supracardiac total anomalous pulmonary venous connection and is still alive at the age of 10 months.

Clinical summary

The patient was born spontaneously at a gestational age of 35 weeks. Birth weight was 2 kg, and Apgar score at 1 minute was 2, increasing to 6 after 2 minutes of mask ventilation. Critical clinical conditions required intubation, but the tube failed to pass the larynx under direct laryngoscopy. A blind end of the larynx was visualized with the aid of a flexible endoscope, whereas the tracheal bifurcation could be visualized from the distal esophagus through a tracheoesophageal fistula. A Portex 3 tube (Portex, Inc, Keene, NH) was positioned through the esophagus into the fistula, achieving a satisfactory bilateral ventilation.

Helical TC scan showed complete agenesis of the trachea (Floyd type II) with a . . . [Full Text of this Article]






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