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KMID : 0356920090560060698
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Korean Journal of Anesthesiology
2009 Volume.56 No. 6 p.698 ~ p.702
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Tracheal intubation via esophagus in a patient with congenital tracheoesophageal fistula -A case report-
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Chung Jin-Hun
Yoo Sie-Hyeon
Kang Kyu-Sik
Ahn Ki-Ryang
Kim Chun-Sook
Chung Ji-Won
Koo Ja-Ug
Song Sang-Woo
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Abstract
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H type of congenital tracheoesophageal fistula (TEF) is rare, occurring approximately once in 100,000 births. The presentation of this anomaly in adults is indeed uncommon. We report a case of a 47-year-old male with congenital TEF dectected during epidural hematoma removal under general anesthesia. Intermittent disappearance of normal capnography, bubbling sound at substernal area, and air leakage at oral cavity observed during manually assisted ventilation, especially during inspiration. We observed a H-type of TEF and tracheal intubation via esophagus in chest CT after operation.
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KEYWORD
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Airway, Difficult intubation, Tracheoesophageal fistula
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