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Case Report

Open Access

Variation of vascular ring as a cause of extubation failure

  • IVANČICA ŠKARIĆ1
  • JASMINKA JAKOBOVIĆ1
  • MAJA KARAMAN ILIĆ1
  • KARMEN KONDŽA Ć1
  • IRENA BABIĆ1

1Children’s Hospital Zagreb Department of anesthesiology, reanimatology and intensive care

DOI: 10.22514/SV32.102008.4 Vol.3,Issue 2,October 2008 pp.29-31

Published: 01 October 2008

*Corresponding Author(s): IVANČICA ŠKARIĆ E-mail: ivancica.skaric1@zg.t-com.hr

Abstract

We report on an unexpected extubation failure in a two year old boy. In our patient, failure of extubation led to a diagnostic examination. The result of our examination was discovery of a congenital anomaly of the aortic arch and great vessels (vascular ring) with compression of the trachea. The presence of this anomaly in this patient was unknown to us before. A successful surgical procedure eliminated the underlying cause of the persistent extubation failures.

Keywords

tracheal compression, vascular ring, extubation failure

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IVANČICA ŠKARIĆ,JASMINKA JAKOBOVIĆ,MAJA KARAMAN ILIĆ,KARMEN KONDŽA Ć,IRENA BABIĆ. Variation of vascular ring as a cause of extubation failure. Signa Vitae. 2008. 3(2);29-31.

References

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2. Harty MP, Kramer SS, Fellows KE. Current concepts in imaging of thoracic vascular abnormalities. Curr Opin Pediatr 2000 Jun;12(3):194-202.

3. Bové T, Demanet H, Casimir G, Viart P, Goldstein JP, Deuvaert FE. Tracheobronhial compression of vascular origin. J Cardiovasc Surg 2001 Oct;42(5):663-6.

4. Khan N, Brown A, Venkataraman TS. Predictors of extubation success and failure in mechanically ventilated infants and children. Crit Care Med 2002;24:1568-79.

5. Kurachek SC, Newth CJ, Quasney MW, Rice T, Sachdeva RC, Patel NR, et al. Extubation failure in pediatric intensive care: a multiple-center study of risk factors and outcomes. Crit Care Med 2003 Nov;31(11):2657-64.

6. Edmunds S, Weiss I, Harrison R. Extubation failure in a large pediatric ICU population. Chest 2001 Mar;119(3):897-900.

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