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Posterior glottic web in a 6-year-old boy
ENT Journal, 10/19/09

Costa DJ et al. – A 6–year–old boy with a history of velocardiofacial syndrome and previous surgical repair of congenital cardiac defects presented to institution for cardiac catheterization under general anesthesia. The largest endotracheal tube that the anesthesia team was able to place was 3.5 mm in its inner diameter. The tube was placed against moderate resistance, which prompted concern for subglottic stenosis. Previous intubations for cardiac intervention had been performed on this patient without difficulty, but a cardiac procedure 9 months earlier had been complicated by self–extubation on postoperative day 2; thereafter, the patient required 3 additional days of intubation.

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