Unique Combination of Atrioventricular Septal Defect With Cor Triatriatum and Complete Vascular Ring

Lugones, Ignacio; Inguanzo, Pablo D.; Ganum, Guillermo; García, Rolando Martínez

doi:10.1177/2150135114564193

Cited by 1 publication

(2 citation statements)

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“…Twenty‐five articles on vascular structures causing tracheal compression were included 17,21,23,36,43,49–68 …”

Section: Resultsmentioning

confidence: 99%

“…Congenital vascular anomalies of the aorta and great vessels can lead to compression of the trachea and esophagus, known as a vascular ring or sling 23,50,66 . Types of vascular structures causing tracheal compression reported in DS children include pulmonary artery sling, 49,54,58,59 double aortic arch, 23,56 right aortic arch with anomalous left subclavian artery, 52,60 innominate artery, 61 and aberrant right subclavian artery 21,23,36 . One case of iatrogenic tracheal compression by a vascular structure in a DS child was identified, in which failed cardiac catheterization caused an aneurysm of an anomalous right subclavian artery to compress the trachea 64…”

Section: Resultsmentioning

confidence: 99%

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Tracheal anomalies associated with Down syndrome: A systematic review

Fockens

Hölscher

Limpens

et al. 2021

Pediatric Pulmonology

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Introduction Airway anomalies are accountable for a substantial part of morbidity and mortality in children with Down syndrome (DS). Although tracheal anomalies occur more often in DS children, a structured overview on the topic is lacking. We systematically reviewed the characteristics of tracheal anomalies in DS children. Methods A MEDLINE and EMBASE search for DS and tracheal anomalies was performed. Tracheal anomalies included tracheal stenosis, complete tracheal ring deformity (CTRD), tracheal bronchus, tracheomalacia, tracheal web, tracheal agenesis or atresia, laryngotracheoesophageal cleft type 3 or 4, trachea sleeve, and absent tracheal rings. Results Fifty‐nine articles were included. The trachea of DS children is significantly smaller than non‐DS children. Tracheomalacia and tracheal bronchus are seen significantly more often in DS children. Furthermore, tracheal stenosis, CTRD, and tracheal compression by vascular structures are seen regularly in children with DS. These findings are reflected by the significantly higher frequency of tracheostomy and tracheoplasty performed in DS children. Conclusion In children with DS, tracheal anomalies occur more frequently and tracheal surgery is performed more frequently than in non‐DS children. When complaints indicative of tracheal airway obstruction like biphasic stridor, dyspnea, or wheezing are present in children with DS, diagnostic rigid laryngotracheobronchoscopy with special attention to the trachea is indicated. Furthermore, imaging studies (computed tomography, magnetic resonance imaging, and ultrasound) play an important role in the workup of DS children with airway symptoms. Management depends on the type, number, and extent of tracheal anomalies. Surgical treatment seems to be the mainstay in severe cases.

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“…Twenty‐five articles on vascular structures causing tracheal compression were included 17,21,23,36,43,49–68 …”

Section: Resultsmentioning

confidence: 99%