Innominate artery and tracheal compression due to aberrant position of the thymus

Hennington, Mark H.; Detterbeck, Frank C.; Molina, Paul L.; Wood, Robert E.

doi:10.1016/0003-4975(94)00529-g

Cited by 10 publications

(3 citation statements)

References 9 publications

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“…The degree of tracheal stenosis may become significant with compression of the artery and thymus. Subtotal thymectomy and arteriopexy procedure might be necessary as in our case 5,6 . Left innominate artery is a rare form of incomplete vascular ring anomalies and most of the patients have mild symptoms of tracheal compression.…”

Section: Discussionmentioning

confidence: 89%

A rare cause of respiratory distress in infants: tracheal compression due to anomalous course of innominate artery

Yalçinbaş,

Erek,

Salihoğlu

et al. 2006

Turk J Pediatr

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Incomplete vascular ring is a rare congenital vascular anomaly causing tracheal compression. A case of anomalous innominate artery causing tracheal compression and low grade tracheomalacia with remarkable dyspnea and intermittent apnea in a five-month-old infant is reported. Chest X-ray revealed enlarged upper mediastinum. Patent foramen ovale and thymus hyperplasia were detected on echocardiographic examination. Angiography demonstrated left aortic arch with normal arterial branching pattern. Thorax computerized tomography (CT) revealed tracheal compression of more than 50% at innominate artery level and aberrant position of the hyperplastic thymus. Operation was planned for subtotal thymectomy and relocation of innominate artery in order to relieve tracheal obstruction. Postoperative thorax CT demonstrated satisfactory relief of tracheal compression. Patient was discharged from hospital on sixth postoperative day in good condition. On clinical follow-up he is completely asymptomatic without any signs of dyspnea or intermittent reflex apnea. In severely symptomatic cases, surgical treatment offers excellent results.

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Section: Discussionmentioning

confidence: 89%

A rare cause of respiratory distress in infants: tracheal compression due to anomalous course of innominate artery

Yalçinbaş,

Erek,

Salihoğlu

et al. 2006

Turk J Pediatr

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“…Rarely, anterior mediastinal masses can displace the innominate artery resulting in vascular compression of the trachea. [2]…”

Section: Discussionmentioning

confidence: 99%

A rare cause of wheezing in a child with pulmonary atresia

et al. 2019

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The determination of the exact cause for symptomatic airway obstruction in pediatric patients not responding to medication can be a clinical dilemma. Very rarely external vascular compressions can produce airway obstruction symptoms unresponsive to usual bronchodilator medications. The successful management of a child with pulmonary atresia and an innominate artery compression syndrome with respiratory compromise due to tracheal compression is described.

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“…Thymectomy and innominate artery suspension have been described by Hennington et al, in a patient with innominate artery and tracheal compression due to the aberrant position of the thymus. 5 More recently, Hart et al described routine thymectomy in addition to aortopexy for anomalous origin of the innominate artery. 6 The term ''anomalous innominate artery'' has now been replaced by ''innominate compression syndrome,'' as the pathophysiological mechanism of tracheal compression by the innominate artery is multifactorial.…”

Section: Discussionmentioning

confidence: 99%

Suprasternal Approach Aortopexy Relieves Tracheal Compression After Nikaidoh Procedure

Horne

Noga

Anand

et al. 2016

World J Pediatr Congenit Heart Surg

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show abstract

Innominate artery and tracheal compression due to aberrant position of the thymus

Cited by 10 publications

References 9 publications

A rare cause of respiratory distress in infants: tracheal compression due to anomalous course of innominate artery

A rare cause of respiratory distress in infants: tracheal compression due to anomalous course of innominate artery

A rare cause of wheezing in a child with pulmonary atresia

Suprasternal Approach Aortopexy Relieves Tracheal Compression After Nikaidoh Procedure

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