Innominate artery compression of trachea

Indraprastha Apollo Hospitals, New Dilli, NCT, India
The Indian Journal of Pediatrics (Impact Factor: 0.87). 09/2007; 74(8):768-9. DOI: 10.1007/s12098-007-0136-5
Source: PubMed


Innominate artery may cross the trachea and cause airway obstruction is a rare cause of vascular obstruction of airway. We describe a child with stridor, inability to extubate in whom the diagnosis was suspected on fluoroscopy and confirmed by angiography. Reimplantation of the innominate artery resulted in excellent results with longterm follow up. Variantions of this condition and modalities for confirmation of diagnosis are discussed.

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Available from: Vikas Kohli, Jun 26, 2015

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Article: Innominate artery compression of trachea

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    • "Lateral fluoroscopy may show an anterior indentation of the tracheal air column. Bronchoscopy often shows anterior tracheal compression 1-2 cm proximal to the carina as in the index case [6]. CT and MR imaging have been useful in delineating the vascular anatomy in multiple planes and have made angiography superfluous. "
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    ABSTRACT: Anomalies of the great vessels of the mediastinum are not uncommon, but only a small fraction of cases involving vascular compression of the airway cause obstructive symptomatology [1]. Tracheal compression by the innominate artery is the most common of the compression syndromes caused by incomplete vascular rings and often causes mechanical upper airway obstruction in children [2] CT and MR imaging have been useful in delineating the vascular anatomy in multiple planes and have made angiography superfluous. Three-dimensional reconstruction at CT and MR imaging can provide images of even greater detail before surgery
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    ABSTRACT: Respiratory distress is a common symptom in the newborn. Surfactant deficiency in the preterm infant and meconium aspiration and transient tachypnea in the term newborn are among the most common causes of respiratory distress, but primary airway abnormalities can also present with respiratory distress in the newborn. Delay in diagnosis of airway abnormality can be life threatening. Radiologists are among the first to be consulted in the evaluation of a neonate with respiratory distress, and knowledge of the spectrum of airway anomalies is essential for making the correct diagnosis. This article describes airway abnormalities that can present as respiratory distress in a neonate. Copyright © 2015 Elsevier Inc. All rights reserved.
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