Tracheoesophageal and bronchoesophageal
themselves at the first feeding of the child by severe attack of asphyxia, cough
and cyanosis. Quickly severe aspiration pneumonia occurs and is usually fatal
in saved hernia. This
defect is often combined with atresia of the esophagus. It is diagnosed
with the introduction of X-ray contrast into the trachea and bronchi, or
bronchoscopically with the introduction of contrast into the esophagus.
Clinical manifestations of
this defect depend on the width of the message of the esophagus with the
trachea. The wider the anastomosis, the more rapidly and early clinical
symptoms arise. Any form of congenital isolated tracheoesophageal fistula mainly
manifests is respiratory failure (cyanosis, shortness of breath, coughing,
choking) that occur during breastfeeding. This relationship of breathing
disorders in feeding is the cardinal symptom, distinguishing
esophageal-endotracheal anastomosis from other types of diseases in neonates,
occurring respiratory disorders. With a wide fistula respiratory failure is so
severe that requires removal of the child on mechanical ventilation. Suction of
gastric contents in this case from the intubation tube (tracheal) makes the
diagnosis tracheoesophageal fistula uncertain.
Radiograph of the
chest. Radiocontrast substance is flowing through the tracheoesophageal fistula
from the esophagus to tracheobronchial tree.
treatment must be performed as soon as possible. In this case the prognosis for life is good.
congenital lung malformations are rare, they are important disorders because
they may lead to considerable morbidity and mortality (eg, infection,
hemorrhage, respiratory failure). Prognosis depends on the size of the lesion,
and the degree of functional impairment. Small lesions may remain asymptomatic.
Failure to recognize a malformation may lead to inappropriate