Published December 1, 2017
| Version v1
Journal article
Open
Trachea and Oesophagus Compression by DAA
- 1. Department of Paediatrics, MLB Medical College, Jhansi
- 2. Department of Radiodiagnosis, MLB Medical College, Jhansi
Description
A vascular ring is an anomaly of the great arteries (aortic arch and its branches) that compresses trachea or oesophagus. It presents as respiratory and GI symptoms. Double aortic arch is the most common vascular ring. It typically becomes symptomatic in infancy or early childhood. We present herein a rare case of an infant with double aortic arch who presented with respiratory distress and GI symptoms. The diagnosis was made by barium swallow, contrast-enhanced computed tomography chest, and MRI chest. Thereafter, the patient was referred to higher centre for surgical management.
Files
78-81.pdf
Files
(156.6 kB)
| Name | Size | Download all |
|---|---|---|
|
md5:8769a67aa378117e7b06e361b85fde43
|
156.6 kB | Preview Download |
Additional details
References
- 1. Gross RE. Arterial Malformations Which Cause Compression of the Trachea or Esophagus. Circulation. 1955:11:124-134.
- 2. Kau T, Lesnik G, Eicher W, Sinzig M, Gasser J, et al. Aortic Development and Anomalies. Seminars in Interventional Radiology. 2007:24:141-152.
- 3. Baraldi R, Address SS, Bighi S, Mannella P. Vascular Ring Due to Double Aortic Arch. A Rare Cause of Dysphagia. Eur J Radiol Open. 2004:52:21-24.
- 4. Umegaki T, Sumi C, Nishi K, Ikeda S, Shingu K. Airway Management in an Infant with Double Aortic Arch. JAnesthesia. 2010:24:117-120
- 5. Hernanz-Schulman M. Vascular rings: a practical approach to imaging diagnosis. Pediatr Radiol. 2005: 35:961-979.
- 6. Effmann EL, Whitman SA, Smith BR. Aortic arch development. Radiographics. 1986: 6(6):1065-1089.
- 7. Waldo K, Kirby M. Development of the great arteries. In: de la Cruz MV, Markwald RR (Eds); Living Morphogenesis of the Heart. Birkauser, Boston, MA. pp187-217
- 8. Hungerford JE, Little CD Developmental biology of the vascular smooth muscle cell: building a multilayered vessel wall. Vasc Res. 1999: 36: 2–27.
- 9. Suri C, Yancopolous GD Growth factors in vascular morphogenesis: insights from gene knockout studies in mice. In: Little CD, Mironov V, Sage H (eds) Vascular Morphogenesis: In vivo, in Vitro, In Menter Birkhauser, Boston. 1999: pp 65–72.
- 10. Kuo CT, Veselitis ML, Barton KP et al.,The LKLF transcription factor is required for normal tunica media formation and blood vessel stabilization duringmurine embryogenesis.Genes Dev. 1997: 11(15): 2996–3006.
- 11. Congdon ED. Transformation of the aortic-arch system during the development of the human embryo. Conf Embry. 1922: 68: 47-110.
- 12. Edwards FR Vascular compression of the trachea and esophagus. Thorax; 1959: 14: 187–200.
- 13. Kussman BD, Geva T, McGowan FX Cardiovascular causes of airway compression. Paediatric Anaesth. 2004: 14: 60-74
- 14. Gruber PJ,Wessels A, Kubalak SW Development of the heart and great vessels. In Pediatric cardiac Surgery. Eds Mavroudis C, Backer CL. Blackwell Publishing. 2013:1-26