TY - JOUR
T1 - Fatal aortotracheal fistula combined with aortoesophageal fistula in an infant with double aortic arch
T2 - a warning
AU - Atsumi, Naotaka
AU - Matsubara, Muneaki
AU - Kimura, Naritaka
AU - Terada, Masatsugu
N1 - Publisher Copyright:
© 2013, The Japanese Association for Thoracic Surgery.
PY - 2015/10/1
Y1 - 2015/10/1
N2 - This report describes a 2-month-old male infant with a double aortic arch (DAA) complicated by aortoesophageal fistula (AEF) and aortotracheal fistula (ATF). He was intubated with an endotracheal tube at birth because of neonatal asphyxia. A nasogastric tube was also placed for gastric decompression and milk feeding. On the 74th day of birth, he had massive upper gastrointestinal hemorrhage associated with shock, and was referred to our hospital. Although emergent surgery controlled the bleeding from AEF, he suffered cardiac arrest due to massive bleeding from ATF 5 h after surgery, and died on the 9th postoperative day. Physicians should be aware that prolonged endotracheal and nasogastric intubation predispose to the development of not only esophageal erosion but also more lethal tracheal erosion. In addition to the importance of early diagnosis and prompt surgery for DAA, appropriate preoperative respiratory management is emphasized to prevent similar occurrences in the future.
AB - This report describes a 2-month-old male infant with a double aortic arch (DAA) complicated by aortoesophageal fistula (AEF) and aortotracheal fistula (ATF). He was intubated with an endotracheal tube at birth because of neonatal asphyxia. A nasogastric tube was also placed for gastric decompression and milk feeding. On the 74th day of birth, he had massive upper gastrointestinal hemorrhage associated with shock, and was referred to our hospital. Although emergent surgery controlled the bleeding from AEF, he suffered cardiac arrest due to massive bleeding from ATF 5 h after surgery, and died on the 9th postoperative day. Physicians should be aware that prolonged endotracheal and nasogastric intubation predispose to the development of not only esophageal erosion but also more lethal tracheal erosion. In addition to the importance of early diagnosis and prompt surgery for DAA, appropriate preoperative respiratory management is emphasized to prevent similar occurrences in the future.
KW - Aortoesophageal fistula
KW - Aortotracheal fistula
KW - Double aortic arch
KW - Infant
UR - http://www.scopus.com/inward/record.url?scp=84943191596&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84943191596&partnerID=8YFLogxK
U2 - 10.1007/s11748-013-0318-1
DO - 10.1007/s11748-013-0318-1
M3 - Article
C2 - 24057599
AN - SCOPUS:84943191596
VL - 63
SP - 579
EP - 582
JO - General Thoracic and Cardiovascular Surgery
JF - General Thoracic and Cardiovascular Surgery
SN - 1863-6705
IS - 10
ER -