Virtual Pediatric Hospital: Thoracopaedia: An Imaging Encyclopedia
of Pediatric Thoracic Disease: Case 59Thoracopaedia: An Imaging Encyclopedia of Pediatric Thoracic
Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed
Three month old female with increasing respiratory distress.
The patient was a 3 month old female with Downs Syndrome and a
ventricular septal defect who had increasing respiratory difficulties
that culminated in a respiratory arrest. At that time, she was found
to be difficult to intubate at an outside hospital. She was
successfully resuscitated and transferred to our institution for
Bronchoscopy performed after the neck CT exam showed a stenosis of
the mid trachea with the tracheal lumen being less than 2 mm in
diameter at that point. The patient was taken electively to the
operating room and the stenotic area of trachea was resected and the
Follow-up and Prognosis:
The patient had a complicated post-operative course with multiple
tracheal dilations required due to restenosis of the trachea at the
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