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Critical Airway Stenosis in an Adolescent Male With Pompe Disease and Thoracic Lordosis: A Case Report

Brenn, B. Randall MD; Theroux, Mary T. MD; Shah, Suken A. MD; Mackenzie, William G. MD; Heinle, Robert MD; Scavina, Mena T. MD

doi: 10.1213/XAA.0000000000000564
Case Reports: Case Report

An adolescent male with late-onset Pompe disease (glycogen storage disease type II) presented with a history of restrictive airway disease and a near-cardiorespiratory arrest during anesthesia for a liver biopsy initially thought to be due to bronchospasm. During a subsequent posterior spinal fusion procedure, he suffered cardiorespiratory arrest resulting in the procedure being aborted. Bronchoscopy performed shortly after resuscitation revealed an undiagnosed narrowing of the distal trachea and bronchi. This is the first description of a patient with late-onset Pompe disease with undiagnosed critical tracheal stenosis due to the progression of thoracic lordosis, which was ultimately relieved by posterior spinal fusion.

From the Nemours/Alfred I. duPont Hospital for Children, Wilmington, Delaware.

Accepted for publication March 21, 2017.

Funding: None.

The authors declare no conflicts of interest.

Address correspondence to B. Randall Brenn, MD, 1600 Rockland Rd, Wilmington, DE 19899. Address e-mail to brbrenn@nemours.org.

© 2017 International Anesthesia Research Society
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