Innominate Artery Compression of the Trachea in Infants with Stridor and Apnea

Berdon, Walter E.; Baker, David H.; Bordiuk, Joseph; Mellins, Robert B.

doi:10.1148/92.2.272

Cited by 43 publications

(4 citation statements)

References 4 publications

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“…The conventional radiographs obtained in some infants with stridor show an anterior compression of the trachea, and the barium esophagogram is normal (Fig 6a, 6b) (8). Gross called this an anomalous innominate artery with the assumption that the innominate artery arose in front of rather than to the right of the trachea, or as a common origin with the left carotid artery (bitruncus) with tracheal compression.…”

Section: Anterior Compression Of the Trachea With Normal Esophagus: Imentioning

confidence: 99%

Rings, Slings, and Other Things: Vascular Compression of the Infant Trachea Updated from the Midcentury to the Millennium—The Legacy of Robert E. Gross, MD, and Edward B. D. Neuhauser, MD

Berdon¹

2000

Radiology

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143

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In the first half of the 20th century, pediatric chest imaging was limited mainly to the performance of conventional radiography, including barium esophagography and occasionally bronchography and angiography. Despite this limited imaging approach, by 1950 the diagnosis and treatment of vascular "rings" compressing infant airways had been accomplished with the pioneering efforts of Robert E. Gross, MD, in the field of surgery, and Edward B. D. Neuhauser, MD, in the field of radiology. The next two decades brought the recognition of pulmonary arterial "sling," or anomalous left pulmonary artery, in diagnosis and treatment. Recognition of still another vascular compressive syndrome in infants was identified as that due to the absence of the pulmonary valve. These "rings, slings, and other things" are now evaluated with magnetic resonance (MR) imaging, including MR angiography, and computed tomography (CT), including CT angiography, with the added use of three-dimensional reconstruction. These are the legacies of Drs Gross and Neuhauser.

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Section: Anterior Compression Of the Trachea With Normal Esophagus: Imentioning

confidence: 99%

Rings, Slings, and Other Things: Vascular Compression of the Infant Trachea Updated from the Midcentury to the Millennium—The Legacy of Robert E. Gross, MD, and Edward B. D. Neuhauser, MD

Berdon¹

2000

Radiology

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143

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“…However, left-shifted ABT was rare, moreover, it has a significant and clinical implication by crossing the trachea (Berdon et al, 1969;Strife, et al, 1981). Previous study showed that BT originated from the mid-vertebrae line with a right side deviation of an average of 0.92 mm (right 19.2 mm-left 11.8 mm), almost in the mid-vertebrae area (Shin et al).…”

Section: Discussionmentioning

confidence: 99%

Tracheal Compression by Aberrant Brachiocephalic Trunk Accompanying Variant Origin of the Vertebral Artery

et al. 2017

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The aorta is the main arterial trunk in the human body, however, its variation was extremely variable. During an educational dissection, aberrant branching pattern of aortic arch was found in a Korean cadaver. The brachiocephalic trunk (innominate artery) originated from the aortic arch at the left side of the trachea. It crossed the trachea and divided into the right common carotid and subclavian arteries. The left vertebral artery originated from the aortic arch between the origins of the left common carotid artery and the left subclavian artery, then the left vertebral artery coursed upward to the transverse foramen of the C7. The author describes this previously novel case report with aberrant brachiocephalic trunk and left vertebral arteries and discusses the clinical implications of such a variant.

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“…Angiographic studies continued to confirm that tracheal compression was indeed secondary to the BT. Many authors subsequently challenged the idea that a left sided BT origin is an abnormal finding in children (Maurseth, 1966;Berdon, 1969;Ericsson and Söderlund, 1969;Mustard et al, 1969;Park et al, 1971;Moës, 1975, Ardito, 1980Waldman et al, 1980;Strife et al, 1981;Fletcher and Cohn, 1989;Mandell et al, 1994). Indentation of the trachea on a lateral chest radiograph was a frequent finding even in children without ORS but, with an understandable lack of angiographic data in entirely normal infants, patients with congenital cardiovascular anomalies were used to represent a control population in two large studies (Remy et al, 1974;Strife et al, 1981).…”

Section: Literature Review and Discussionmentioning

confidence: 99%

“…This description of the anatomical ''anomaly'' has survived into the 21st century and persists in popular general radiological and paediatric reference texts (Bernstein, 2007;Dähnert, 2007;Nicholson and Patel, 2007). This is despite the fact that it has long been brought into question with many challenging the idea that a left sided origin of the BT is abnormal in children (Maurseth, 1966;Berdon, 1969;Ericsson and Söderlund, 1969;Mustard et al, 1969;Park et al, 1971;Moës, 1975, Ardito, 1980Waldman et al, 1980;Strife et al, 1981;Fletcher and Cohn, 1989;Mandell et al, 1994). There are, however, minimal data on the normal anatomy and its variation in children without either obstructive respiratory symptoms (ORS) or congenital heart disease (CHD).…”

Section: Introductionmentioning

confidence: 99%

Anatomical variation in the position of the brachiocephalic trunk (innominate artery) with respect to the trachea: A computed tomography‐based study and literature review of innominate artery compression syndrome

et al. 2009

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Respiratory compromise due to tracheal compression by the brachiocephalic trunk (BT), a condition first labeled as Innominate Artery Compression Syndrome (IACS), has been controversially attributed to an anomalous origin of this vessel to the left of, and hence crossing, the trachea. The aim of this study was to establish the normal relationship between the BT and trachea in infants, children, and young adults without obstructive respiratory symptoms. One hundred and eighty-one computed tomography (CT) examinations of the thorax, in three age groups, were reviewed. In axial cross section, the origin of the BT from the aortic arch was identified. The BT origin, with respect to the trachea, was recorded as for a clock face, approximated to the nearest half hour. There were 62 CTs in Group 1 (1 day to 3 years of age), 48 CTs in Group 2 (10-15 years), and 71 examinations in Group 3 (20-40 years). In 96.8% of Group 1, 91.7% of Group 2, and 74.6% of Group 3 the BT origin was to the left of the trachea, between the half past twelve and 3 o'clock positions. The BT origin occurred more the left in Group 1 when compared with the other two groups (P < 0.001). An origin of the BT to the left of the trachea is a normal finding in children and young adults without obstructive respiratory symptoms. There is a tendency for the origin to become progressively more rightward with age.

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Innominate Artery Compression of the Trachea in Infants with Stridor and Apnea

Cited by 43 publications

References 4 publications

Rings, Slings, and Other Things: Vascular Compression of the Infant Trachea Updated from the Midcentury to the Millennium—The Legacy of Robert E. Gross, MD, and Edward B. D. Neuhauser, MD

Rings, Slings, and Other Things: Vascular Compression of the Infant Trachea Updated from the Midcentury to the Millennium—The Legacy of Robert E. Gross, MD, and Edward B. D. Neuhauser, MD

Tracheal Compression by Aberrant Brachiocephalic Trunk Accompanying Variant Origin of the Vertebral Artery

Anatomical variation in the position of the brachiocephalic trunk (innominate artery) with respect to the trachea: A computed tomography‐based study and literature review of innominate artery compression syndrome

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