Stridor After Tracheoesophageal Fistula Repair: Where Is the Lesion?

A male infant with a birthweight of 2,500 g (between the 3rd and 10th percentile) is born at 37 weeks ’ gestation to a 27-year-old primigravida woman with severe polyhydramnios (amniotic fluid index of 37 cm). After delivery, the neonate is vigorous, with Apgar scores of 8 and 9 at 1 and 5 minutes of age, respectively. He develops excessive frothy oral secretions, and the neonatology team is unabl e to pass a nasogastric tube. Chest radiography shows the coiling of a nasogastric tube with air in the stomach suggestive of esophageal atresia (EA) with tracheoesophageal fistula (TEF).
Source: NeoReviews recent issues - Category: Pediatrics Source Type: news