Document Detail

A rare cause of respiratory distress in infants: tracheal compression due to anomalous course of innominate artery.
MedLine Citation:
PMID:  16562796     Owner:  NLM     Status:  MEDLINE    
Incomplete vascular ring is a rare congenital vascular anomaly causing tracheal compression. A case of anomalous innominate artery causing tracheal compression and low grade tracheomalacia with remarkable dyspnea and intermittent apnea in a five-month-old infant is reported. Chest X-ray revealed enlarged upper mediastinum. Patent foramen ovale and thymus hyperplasia were detected on echocardiographic examination. Angiography demonstrated left aortic arch with normal arterial branching pattern. Thorax computerized tomography (CT) revealed tracheal compression of more than 50% at innominate artery level and aberrant position of the hyperplastic thymus. Operation was planned for subtotal thymectomy and relocation of innominate artery in order to relieve tracheal obstruction. Postoperative thorax CT demonstrated satisfactory relief of tracheal compression. Patient was discharged from hospital on sixth postoperative day in good condition. On clinical follow-up he is completely asymptomatic without any signs of dyspnea or intermittent reflex apnea. In severely symptomatic cases, surgical treatment offers excellent results.
Yusuf Kenan Yalçinbaş; Ersin Erek; Ece Salihoğlu; Ayşe Sarioğlu; Tayyar Sarioğlu
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Turkish journal of pediatrics     Volume:  48     ISSN:  0041-4301     ISO Abbreviation:  Turk. J. Pediatr.     Publication Date:    2006 Jan-Mar
Date Detail:
Created Date:  2006-03-27     Completed Date:  2006-04-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0417505     Medline TA:  Turk J Pediatr     Country:  Turkey    
Other Details:
Languages:  eng     Pagination:  93-5     Citation Subset:  IM    
Department of Cardiovascular Surgery, Acibadem Hospital, Bakirköy-Istanbul, Turkey.
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MeSH Terms
Brachiocephalic Trunk / abnormalities*,  radiography
Child, Preschool
Thymus Gland / abnormalities*,  pathology,  radiography
Tomography, X-Ray Computed
Tracheal Diseases / etiology*,  radiography

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