Síndrome de compresión traqueal por arteria innominada: Casos clínico-radiológicos

E, Stefhanie Nayar; B, Karla Moënne; S, Carolina Pérez; P, Jorge Mackenney

doi:10.4067/s0717-93082015000200004

Cited by 3 publications

(5 citation statements)

References 9 publications

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“…Most cases are asymptomatic and remain undiagnosed. When symptomatic, it may be accompanied by chronic cough, respiratory difficulty and stridor, occurring most frequently in children 1 2…”

Section: Discussionmentioning

confidence: 99%

“…The management of tracheal compression due to anomalous thoracic vessels is controversial and may proceed conservatively or involve surgical intervention. A comprehensive evaluation by a multidisciplinary team is imperative before determining the most appropriate course 1…”

Section: Discussionmentioning

confidence: 99%

“…Tracheal compression by the brachiocephalic arterial trunk was first documented in 1948 by Gross and Neuhauser 1. This rare clinical condition is primarily diagnosed in symptomatic children experiencing respiratory difficulty and stridor.…”

Section: Introductionmentioning

confidence: 99%

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Tracheal compression by brachiocephalic arterial trunk: a rare cause of failed endotracheal intubation

Noversa,

Gouveia,

Pinto

2024

BMJ Case Rep

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Encountering and managing an unanticipated difficult airway are among the many challenges faced by anaesthesiologists. Due to the intimate anatomical relationship between the thoracic vasculature and the trachea, an anatomical variation could potentially lead to airway compression. This clinical case report documents a failed intubation in an adult patient caused by undiagnosed extrinsic tracheal compression from the brachiocephalic arterial trunk, a rare condition. After a thorough investigation and diagnostic clarification, a safe anaesthetic plan following the predictable difficult airway guidelines was established to enable surgery. Anaesthesiologists should consider rare vascular causes as potential contributors to difficult airway scenarios, thereby enhancing their expertise.

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“…Most cases are asymptomatic and remain undiagnosed. When symptomatic, it may be accompanied by chronic cough, respiratory difficulty and stridor, occurring most frequently in children 1 2…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Tracheal compression by brachiocephalic arterial trunk: a rare cause of failed endotracheal intubation

Noversa,

Gouveia,

Pinto

2024

BMJ Case Rep

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“…Se estima que el 3 % de la población puede presentarla. 8 La clínica puede iniciarse durante las primeras semanas de vida. 3 Si bien la incidencia de esta patología es baja, constituye una causa importante de obstrucción congénita de la gran vía aérea en los niños, por lo que debe pensarse en ella, principalmente, frente a tres situaciones: tos traqueal crónica o estridor bifásico persistente que aumenta con el llanto y la alimentación, síndrome bronquiolítico que no responde al tratamiento broncodilatador y fallas en la extubación.…”

Section: Discussionunclassified

Anillos vasculares. Serie de 28 pacientes atendidos en un Servicio de Endoscopía Respiratoria Pediátrica

et al. 2019

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Presentación de casos clínicos RESUMENLos anillos vasculares tienen una incidencia del 1 % entre las enfermedades cardiovasculares congénitas. Constituyen una malformación embriológica en la que el arco aórtico, sus ramas o las arterias pulmonares provocan presión sobre la tráquea y/o el esófago. Anatómicamente, se dividen en dos grupos, dependiendo de cómo rodean la tráquea y el esófago: completo o incompleto. La sintomatología suele iniciarse en los primeros meses de vida con estridor bifásico o espiratorio que aumenta con el llanto y la alimentación, tos traqueal de tonalidad metálica, infecciones respiratorias recurrentes, episodios de apnea refleja y cianosis, sibilancias, hiperextensión cervical, retracción esternal e intercostal, y dificultad en la alimentación. Se realizó un análisis retrospectivo de 28 pacientes con diagnóstico de anillo vascular que concurrieron a la consulta en el Servicio de Endoscopía Respiratoria del Hospital Garrahan entre enero de 2015 y septiembre de 2017. Palabras clave: anillo vascular, arteria innominada, arco aórtico doble, sling de la arteria pulmonar, arteria subclavia aberrante. ABSTRACTVascular rings account for 1 % of the congenital cardiovascular diseases. They constitute an embryological malformation in which the aortic arch, its branches, or the pulmonary arteries cause pressure on the trachea and/or oesophagus. Anatomically, they are divided into two groups -complete or incomplete-depending on how they surround the trachea and/or the oesophagus. Symptom onset is usually in the first months of life with biphasic or expiratory stridor that increases with crying and feeding, a metallic tracheal cough, recurrent respiratory infections, episodes of apnea and cyanosis, wheezing, cervical hyperextension, sternal and intercostal retraction, and feeding difficulties. A retrospective analysis of 28 patients with vascular rings seen at the Department

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“…Surgical treatment is indicated when the symptoms are severe or multiple, do not respond to conservative treatment (management of comorbidities), and when the fibrobronchoscopy shows tracheal compression greater than 70%. The surgical procedure of choice is aortopexy [ 15 , 22 ], which consists of the suture of the adventitia of the aorta to the sternum, performed with simultaneous evaluation of the tracheal lumen [ 16 , 23 , 24 ].…”

Section: Introductionmentioning

confidence: 99%

Anatomical and positional variants of the brachiocephalic trunk in a Mexican population

et al. 2021

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Background Brachiocephalic trunk (BCT) variants may have a clinical impact during surgical procedures, some of which could be fatal. The objective of this study was to classify height positions of the BCT and report their prevalence in a Mexican population. Methods Patients: A retrospective, descriptive, observational, and cross-sectional was performed using computed tomography angiography (CTA) of adult (> 18 years of age) patients, without gender distinction, of Mexican origin. Measuring techniques were standardized using the suprasternal notch to analyze linear and maximum heights, linear and curved lengths, and the vertebral origin and bifurcation levels of the BCT. Results A total of 270 CTA were obtained (66.7% men and 33.3% women). A high position of BCT was present in 64.81% (n 175/270). The mean linear medial height was 0.58 ± 1.91 cm, the maximum height of the free edge was 3.85 ± 2.04 cm, side length of the midline at the maximum height of the free edge was 1.46 ± 2.59, linear length 3.72 ± 0.70, and a curve length 3.99 ± 0.79. The BCT origin was most predominant at the T3 (57.9%) and T4 (27.0%) vertebral levels, with the bifurcation at T2 (57.9%) and T1 (36.2%). Conclusions There is a high prevalence of high position BCT in our population. Patients should be assessed before any procedures in the area, due to the potential risk of complications.

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Síndrome de compresión traqueal por arteria innominada: Casos clínico-radiológicos

Cited by 3 publications

References 9 publications

Tracheal compression by brachiocephalic arterial trunk: a rare cause of failed endotracheal intubation

Tracheal compression by brachiocephalic arterial trunk: a rare cause of failed endotracheal intubation

Anillos vasculares. Serie de 28 pacientes atendidos en un Servicio de Endoscopía Respiratoria Pediátrica

Anatomical and positional variants of the brachiocephalic trunk in a Mexican population

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