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Variation of vascular ring as a cause of extubation failure
1Children’s Hospital Zagreb Department of anesthesiology, reanimatology and intensive care
*Corresponding Author(s): IVANČICA ŠKARIĆ E-mail: ivancica.skaric1@zg.t-com.hr
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.
tracheal compression, vascular ring, extubation failure
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.
1. McLaughlin RB Jr, Wetmore RF, Tavill MA, Gaynor JW, Spray TL. Vascular anomalies Causing Symptomatic Tracheobronhial Compression. Laryngoscope 1999 Feb;109(2 Pt 1):312-9.
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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