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Three infants who developed anoxic spells 2, 5, and 20 mo following repair of esophageal atresia developed apneic spells during or within a few minutes of feeding. These episodes began with stridor and cyanosis; when severe, they progressed to apnea and loss of consciousness. Mouth-to-mouth resuscitation was often necessary. Investigations failed to detect esophageal obstruction and/or a recurrent tracheoesophageal fistula. No neurologic or cardiac abnormalities were found. The cause was compression of a 1- to 3-cm segment of trachea anteriorly by a vascular structure and posteriorly by a dilated esophagus that emptied slowly because of poor motility. Endoscopy confirmed the x-ray findings. The aortic arch and innominate artery were suspended to the sternum anteriorly, which relieved the apneic spells in all patients.
R M Filler, and
P J Rossello, and
R L Lebowitz
June 1980,
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R M Filler, and
P J Rossello, and
R L Lebowitz
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R M Filler, and
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R M Filler, and
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R L Lebowitz
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R M Filler, and
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R M Filler, and
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R M Filler, and
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R M Filler, and
P J Rossello, and
R L Lebowitz
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R M Filler, and
P J Rossello, and
R L Lebowitz
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R M Filler, and
P J Rossello, and
R L Lebowitz
October 1983,
Tijdschrift voor kindergeneeskunde,
