Vascular Anomalies Causing Symptomatic Tracheobronchial Compression

Rb, McLaughlin; Rf, Wetmore; Ma, Tavill; Gaynor, J. William; Tl, Spray

doi:10.1097/00005537-199902000-00025

Cited by 52 publications

(38 citation statements)

References 12 publications

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“…Of the 13 patients with this anomaly, 31% (4/13) were asymptomatic. The respiratory symptoms in seven cases (53.8%) and the dysphagia, vomiting, or both in two cases (15.4%) can be readily explained by the formation of a complete VR in this anomaly, and the preponderance of respiratory symptoms due to tracheal compression noted in our series is in accordance with the literature [1,3,7,9,11].…”

Section: Discussionsupporting

confidence: 92%

“…Double aortic arch and pulmonary sling are considered the two leading causes of respiratory symptoms among those anomalies, forming a complete or incomplete vascular ring, respectively [2,4,5,7]. Compression to the trachea and the esophagus was noted in all three patients with a double aortic arch in our series, with accompanying respiratory symptoms in two cases.…”

Section: Discussionmentioning

confidence: 51%

“…Vascular rings encompass a wide and heterogeneous group of anomalies of the aortic arch and its vessels, causing compression to the trachea or esophagus by forming a complete or partial ring [7][8][9][10][11]. In the current series, patients with complete ring formation constituted 3 patients with a double aortic arch and 13 patients with a right aortic arch and ALSA stemming from the retroesophageal diverticulum of Kommerell and the left ductal ligament.…”

Section: Discussionmentioning

confidence: 96%

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Vascular Rings: Presentation, Imaging Strategies, Treatment, and Outcome

et al. 2012

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This study aimed to evaluate the presenting symptoms, the effectiveness of imaging methods, and the surgical treatment of vascular rings. Data for 44 patients (32 enrolled prospectively, 12 reviewed retrospectively) over a 10-year period in a tertiary referral center were analyzed. These patients comprised 25 patients with a left aortic arch and an aberrant right subclavian artery, 13 patients with a right aortic arch and a left subclavian artery originating from Kommerell’s diverticulum, 1 patient with a right aortic arch and an aberrant left subclavian artery, 3 patients with a double aortic arch, and 2 patients with a pulmonary sling. Respiratory symptoms were found in 25 patients and dysphagia in 6 patients. Atypical symptoms such as reflex apnea, cyanosis, syncope episodes, and exercise-induced wheezing were noted in five patients. Associated congenital heart defects were detected in 41% of the patients. The diagnostic yield was 95.23% for barium esophagography, 54.54% for echocardiography, and 66.66% for computed tomography. The anatomy could be correctly identified by magnetic resonance imaging (MRI) in 97.43% and by angiography in 90.5% of the patients. Of the 30 patients who underwent surgery, 80% were completely relieved of symptoms during a mean follow-up period of 25 ± 33.5 months. Vascular rings should not be overlooked in infants with atypical symptoms. The authors’ diagnostic procedure of choice is MRI because it is superior to angiography for delineating the relationship between abnormal vascular structures, trachea, and esophagus.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 51%

Section: Discussionmentioning

confidence: 96%

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Vascular Rings: Presentation, Imaging Strategies, Treatment, and Outcome

et al. 2012

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“…Ayrıca vasküler ring anomalisi ve dıştan bası yapan tümörler nedeniyle de görülebilir (35). Bu durum indüksiyon ve ekstübasyon sırasında trakeal kollapsa ve solunum sıkıntısına neden olabilir.…”

Section: Trakeomalaziunclassified

Anesthesia in Pediatric Thoracic Surgery

Sazak¹,

Alagöz²,

Şahin³

2012

Toraks Cer Bult

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“…(1) Compressão extrínseca da via aérea, por tumor ou malformação arteriovenosa pode ser causa menos freqüente de tosse. (42) Causas menos freqüentes de tosse como aquela secundária à irritação do nervo de Arnold (ramo auricular o nervo vago), responsável por uma parte da sensibilidade do conduto auditivo externo, tem sido relatada com importância, na verdade, por se tratar da facilidade de diagnóstico com o simples exame físico (otoscopia) (43) frente à suspeita clínica (visibilização de corpos estranhos ou impactação de cerúmen no interior do conduto auditivo).…”

Section: Outras Causasunclassified

Abordagem diagnóstica da tosse crônica em pacientes não-tabagistas: diagnostic approach

2003

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A tosse, como mecanismo fisiológico, tem fundamental importância na remoção das secreções respiratórias, constituindo, assim, um dos mecanismos de defesa pulmonar. No entanto, os quadros de tosse crônica constituem uma das principais causas de procura por assistência médica no mundo, o que ressalta o significado da correta identificação e tratamento dos fatores desencadeantes e/ou perpetuadores. Dentre os vários fatores relacionados aos quadros de tosse crônica, alguns assumem papel de relevada importância, tais como o refluxo gastroesofágico, a rinorréia posterior ou a asma, já que, isolada ou conjuntamente, constituem cerca de 95% das causas. O passo fundamental para o sucesso terapêutico nos quadros de tosse crônica é uma abordagem diagnóstica racional, que investigue a tosse crônica de maneira progressiva, permitindo, assim, a instituição do tratamento de forma mais custo-efetiva. Para isso, a proposta de um algoritmo a ser seguido serve como base para essa investigação inicial.

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Vascular Anomalies Causing Symptomatic Tracheobronchial Compression

Abstract: Tracheobronchial compression from congenital vascular anomalies is a rare but treatable cause of respiratory symptoms. Early diagnosis requires a prompt, thorough clinical and radiologic evaluation. Surgery affords excellent long-term resolution of symptoms.

Cited by 52 publications

References 12 publications

Vascular Rings: Presentation, Imaging Strategies, Treatment, and Outcome

Vascular Rings: Presentation, Imaging Strategies, Treatment, and Outcome

Anesthesia in Pediatric Thoracic Surgery

Abordagem diagnóstica da tosse crônica em pacientes não-tabagistas: diagnostic approach

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