Management of tracheal agenesis

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Abstract
Complete tracheal agenesis is a very rare congenital anomaly that is only compatible with life in some cases with associated tracheo‐oesophageal or broncho‐oesophageal fistula. In most cases, concomitant congenital anomalies of the heart, digestive tract or genitourinary tract are present. It should be suspected in any neonate with a history of hydramnios, absent crying, respiratory distress and difficulty in intubation. The possibility for surgical correction or palliation rests on the extent of atresia present. We present a case of complete tracheal agenesis without tracheo nor broncho‐oesophageal fistula (type II by Floyd’s classification) – the diagnosis of which was prenatally suspected – and discuss the important features of the airway management of this condition.

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