{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T11:08:21Z","timestamp":1778238501530,"version":"3.51.4"},"reference-count":23,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2024,7,11]],"date-time":"2024-07-11T00:00:00Z","timestamp":1720656000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Pediatr."],"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>We present the case of a patient with an unexpected postnatal diagnosis of tracheal agenesis, a severe and rare pathology with fewer than 200 cases documented in the literature, typically diagnosed postmortem. In our instance, early diagnosis was achieved through collaborative efforts and teamwork among various professionals. We provide illustrative images and videos to assist colleagues in identifying this congenital anomaly.<\/jats:p><\/jats:sec><jats:sec><jats:title>Case presentation<\/jats:title><jats:p>The patient is a term newborn with prenatal indicators of polyhydramnios and a single umbilical artery. Upon birth, the infant exhibited severe respiratory distress, and orotracheal intubation via direct laryngoscopy was unfeasible. Consequently, an urgent fibrobronchoscopy, conducted by pediatric surgeons, led to the diagnosis of tracheal agenesis with tracheoesophageal fistula and the placement of a directed endotracheal tube. This intervention facilitated temporary ventilation until parental consensus on management was achieved. Following a multidisciplinary consultation, the decision was made to proceed with extracorporeal membrane oxygenation. Unfortunately, the patient experienced a prolonged refractory cardiorespiratory arrest and died after 7\u2005h of life in his mother\u2019s arms.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Teamwork in neonatology is indispensable when addressing emergent pathologies. In our experience, multidisciplinary management, including anesthesiologists and pediatric surgeons, should be contemplated in complex scenarios.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fped.2024.1401729","type":"journal-article","created":{"date-parts":[[2024,7,11]],"date-time":"2024-07-11T04:45:10Z","timestamp":1720673110000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":2,"title":["Tracheal agenesis: the importance of teamwork in an uncommon pathology, challenging diagnosis, and high mortality\u2014a case report"],"prefix":"10.3389","volume":"12","author":[{"given":"Bel\u00e9n","family":"Fern\u00e1ndez Monteagudo","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Salvador","family":"Piris Borregas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lidia","family":"Ni\u00f1o D\u00edaz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tania","family":"Carbayo Jim\u00e9nez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roc\u00edo","family":"Morante Valverde","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jes\u00fas Vicente","family":"Redondo Sedano","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria Teresa","family":"Moral Pumarega","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2024,7,11]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"236","DOI":"10.1016\/S1695-4033(07)70613-6","article-title":"Agenesia traqueal asociada a malformaciones lar\u00edngeas como causa inusual de fracaso de la v\u00eda a\u00e9rea","volume":"67","author":"Rup\u00e9rez","year":"2007","journal-title":"An Pediatr"},{"key":"B2","first-page":"213","article-title":"Agenesia traqueal","volume":"45","author":"Gonz\u00e1lez","year":"1996","journal-title":"An Esp Pediatr"},{"key":"B3","doi-asserted-by":"publisher","first-page":"151055","DOI":"10.1016\/j.sempedsurg.2021.151055","article-title":"Congenital airway anomalies","volume":"30","author":"Varela","year":"2021","journal-title":"Semin Pediatr Surg"},{"key":"B4","doi-asserted-by":"publisher","first-page":"547","DOI":"10.1177\/0003489420962124","article-title":"Tracheal agenesis: vertical division of the native esophagus\u2014a novel surgical approach and review of the literature","volume":"130","author":"Straughan","year":"2020","journal-title":"Ann Otol Rhinol Laryngol"},{"key":"B5","first-page":"215","article-title":"Agenesia traqueal. Anomal\u00eda cong\u00e9nita rara con alta mortalidad","volume":"41","author":"Mir","year":"2014","journal-title":"Pediatr (Asunci\u00f3n)"},{"key":"B6","doi-asserted-by":"publisher","first-page":"1604","DOI":"10.1016\/j.radcr.2020.06.047","article-title":"Tracheal agenesis clinical presentation in a preterm infant: prenatal MRI difficulties and autopsy findings","volume":"15","author":"Saadi","year":"2020","journal-title":"Radiol Case Rep"},{"key":"B7","doi-asserted-by":"publisher","first-page":"bcr-2017-224003","DOI":"10.1136\/bcr-2017-224003","article-title":"Tracheal agenesis in a newborn: lessons learnt","volume":"2018","author":"Naina","year":"2018","journal-title":"BMJ Case Rep"},{"key":"B8","first-page":"557","article-title":"Agenesis of the trachea","volume":"86","author":"Floyd","year":"1962","journal-title":"Am Rev Respir Dis"},{"key":"B9","doi-asserted-by":"publisher","first-page":"45","DOI":"10.1080\/15513815.2019.1627628","article-title":"Tracheal agenesis with esophageal atresia: an autopsy case report of a variant incompatible with life","volume":"39","author":"Krishnamurthy","year":"2020","journal-title":"Fetal Pediatr Pathol"},{"key":"B10","doi-asserted-by":"publisher","first-page":"295","DOI":"10.1016\/S0003-4975(10)63123-2","article-title":"Tracheal agenesis","volume":"28","author":"Faro","year":"1979","journal-title":"Ann Thorac Surg"},{"key":"B11","doi-asserted-by":"publisher","first-page":"96","DOI":"10.1186\/s13052-020-00861-0","article-title":"Unexpected tracheal agenesis with prenatal diagnosis of aortic coartation, lung hyperecogenicity and polyhydramnios: a case report","volume":"46","author":"Perri","year":"2020","journal-title":"Ital J Pediatr"},{"key":"B12","doi-asserted-by":"publisher","first-page":"2148","DOI":"10.1111\/echo.14875","article-title":"Prenatal diagnosis of a pulmonary artery sling associated with tracheal agenesis: a case report","volume":"37","author":"Qi","year":"2020","journal-title":"Echocardiography"},{"key":"B13","first-page":"121","article-title":"Atresia traqueal y s\u00edndrome de charge. Reporte de caso","volume":"21","author":"L\u00f3pez","year":"2007","journal-title":"Rev CES Med"},{"key":"B14","doi-asserted-by":"publisher","first-page":"4448","DOI":"10.4103\/jfmpc.jfmpc_792_20","article-title":"CHAOS: a fetal autopsy report","volume":"9","author":"Chawla","year":"2020","journal-title":"J Family Med Prim Care"},{"key":"B15","doi-asserted-by":"publisher","first-page":"1253","DOI":"10.3390\/medicina57111253","article-title":"Prenatal diagnosis and outcome of thacheal agenesis as part of congenital high airway obstruction syndrome. Case presentation and literature review","volume":"57","author":"Georgescu","year":"2021","journal-title":"Medicina (Kaunas)"},{"key":"B16","doi-asserted-by":"publisher","first-page":"775","DOI":"10.24953\/turkjped.2018.1637","article-title":"Recovery of cyanosis after esophageal intubation in a neonate with tracheal agenesis: a case report","volume":"64","author":"\u00c7elik","year":"2022","journal-title":"Turk J Pediatr"},{"key":"B17","doi-asserted-by":"publisher","first-page":"2009","DOI":"10.1016\/j.jpedsurg.2015.08.014","article-title":"Long-term outcomes of four patients with tracheal agenesis who underwent airway and esophageal reconstruction","volume":"50","author":"Tazuke","year":"2015","journal-title":"J Pediatr Surg"},{"key":"B18","doi-asserted-by":"publisher","first-page":"650","DOI":"10.1016\/j.pedneo.2020.08.008","article-title":"The diagnostic role of multidetector computed tomography in congenital tracheal agenesis","volume":"61","author":"Chen","year":"2020","journal-title":"Pediatr Neonatol"},{"key":"B19","doi-asserted-by":"publisher","first-page":"1757","DOI":"10.1002\/ppul.26990","article-title":"Rare type of tracheal agenesis: unexpected presentation and immediate consideration of emergent esophageal intubation in neonatal resuscitation program. Case reports and review of the literature","volume":"59","author":"Wu","year":"2024","journal-title":"Pediatr Pulmonol"},{"key":"B20","doi-asserted-by":"publisher","first-page":"280","DOI":"10.1159\/000021022","article-title":"Salvage of a fetus with congenital high airway obstruction syndrome by ex utero intrapartum treatment (EXIT) procedure","volume":"15","author":"Crombleholme","year":"2000","journal-title":"Fetal Diagn Ther"},{"key":"B21","doi-asserted-by":"publisher","first-page":"830","DOI":"10.1016\/S0022-5223(94)70180-6","article-title":"Surgical management of tracheal agenesis","volume":"108","author":"Hiyama","year":"1994","journal-title":"J Thorac Cardiovasc Surg"},{"key":"B22","doi-asserted-by":"publisher","first-page":"563","DOI":"10.1016\/j.xjtc.2021.08.037","article-title":"Tracheal agenesis: esophageal airway support with a 3-dimensional-printed bioresorbable splint","volume":"10","author":"Tsai","year":"2021","journal-title":"JTCVS Tech"},{"key":"B23","doi-asserted-by":"publisher","first-page":"73","DOI":"10.1016\/j.sopen.2022.11.005","article-title":"Successful application of the innovation process to a case of Floyd type I tracheal agenesis","volume":"11","author":"Greene","year":"2022","journal-title":"Surg Open Sci"}],"container-title":["Frontiers in Pediatrics"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fped.2024.1401729\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,11]],"date-time":"2024-07-11T04:45:18Z","timestamp":1720673118000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fped.2024.1401729\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7,11]]},"references-count":23,"alternative-id":["10.3389\/fped.2024.1401729"],"URL":"https:\/\/doi.org\/10.3389\/fped.2024.1401729","relation":{},"ISSN":["2296-2360"],"issn-type":[{"value":"2296-2360","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,7,11]]},"article-number":"1401729"}}