CC BY-NC-ND 4.0 · Journal of Cardiac Critical Care TSS 2019; 03(01): 45-48
DOI: 10.1055/s-0039-1696907
Case Report
Official Publication of The Simulation Society (TSS), accredited by International Society of Cardiovascular Ultrasound (ISCU).

Severe Subglottic Tracheal Stenosis Dictates Intercontinental Transfer of a 2-Year-Old Child with Tracheostomy Tube In Situ

Manoj Kumar Sahu
1  Intensive care for CTVS, Department of Cardiothoracic and Vascular Surgery, CT Centre, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India
,
Bipin Chalattil
1  Intensive care for CTVS, Department of Cardiothoracic and Vascular Surgery, CT Centre, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India
,
Ameya Karanjkar
2  Department of Cardiac Anaesthesia, CT Centre, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India
,
Sarvesh Pal Singh
1  Intensive care for CTVS, Department of Cardiothoracic and Vascular Surgery, CT Centre, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India
,
Palleti Rajashekar
4  Department of Cardiothoracic and Vascular Surgery, CT Centre, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India
,
V. Devagouru
4  Department of Cardiothoracic and Vascular Surgery, CT Centre, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India
,
Anita Saxena
3  Department of Cardiology, CT Centre, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India
,
Shiv Choudhary
4  Department of Cardiothoracic and Vascular Surgery, CT Centre, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India
› Author Affiliations
Funding All the authors declare that they did not receive any funding from any source for this case study.
Further Information

Publication History

Publication Date:
22 October 2019 (online)

  

Abstract

Atrioventricular septal defect (AVSD) is the most common congenital cardiac anomaly associated with Down’s syndrome. Children with AVSD develop pulmonary arterial hypertension and often require extensive therapy with pulmonary vasodilators in the postoperative period. The postoperative management is complicated by prolonged mechanical ventilation through endotracheal tube or tracheostomy tube. This artificial airway may trigger various airway complications including subglottic tracheal stenosis. The incidence and severity of subglottic tracheal stenosis is high in children with congenital syndromes. Inability to extubate or decannulate trachea and rapid respiratory compromise while attempting to do so directs toward a diagnosis of subglottic tracheal stenosis. The following case report discusses a 2–year-old boy from Nigeria who was discharged with tracheostomy tube in situ due to severe subglottic tracheal stenosis and surgical tracheoplasty could not be done at his present age. The implications of prolonged tracheostomy tube in situ and the hazards thereof during transfer of the child are being described.