Imaging findings in pediatric patients with persistent airway symptoms after surgery for double aortic arch.

Fleck, Robert J; Pacharn, Preeyacha; Fricke, Bradley L; Ziegler, Matthew A; Cotton, Robin T; Donnelly, Lane F · AJR Am J Roentgenol · 2002

case_series · Level IV

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Abstract

The purpose of this study was to review the imaging findings of children referred for cross-sectional imaging to evaluate persistent airway symptoms after surgical therapy for double aortic arch. Airway narrowing is clearly shown on cross-sectional imaging in patients with persistent airway symptoms after surgical therapy for double aortic arch. Two patterns of airway compression are typically seen: narrowing of the trachea at the level of the postsurgical arch and narrowing of the left main bronchus as a result of compression from a midline descending aorta. Both patterns may be seen in patients regardless of whether the left or the right arch has been ligated.

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