Kikuchi S, Kashino R, Hirama T, Kobayashi H, Abe T
Department of Thoracic and Cardiovascular Surgery, Sapporo Medical University School of Medicine, Japan.
Surg Today. 1999;29(4):344-6. doi: 10.1007/BF02483059.
Tracheomalacia (TM) is well known as a complication associated with esophageal atresia (EA) and tracheoesophageal fistula (TEF); however, the occurrence of TM requiring surgical treatment in a patient having EA without a tracheoesophageal fistula has never been reported. We describe herein a rare case of TM associated with EA without TEF. Respiratory distress was caused by compression of the trachea by a severely dilated upper esophageal pouch with weakness of the tracheal wall. Aortopexy was performed, and an excellent postoperative result was achieved.
气管软化症（TM）是一种与食管闭锁（EA）和气管食管瘘（TEF）相关的并发症，这是广为人知的；然而，在没有气管食管瘘的食管闭锁患者中发生需要手术治疗的气管软化症，此前从未有过报道。我们在此描述一例罕见的无气管食管瘘的食管闭锁合并气管软化症病例。严重扩张的食管上段囊袋压迫气管并伴有气管壁薄弱，导致呼吸窘迫。实施了主动脉固定术，术后效果良好。
