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[Intrathoracic compressions of the respiratory tract due to a double aortic arch in children]

D Iu Krivchenia, A K Slepov, L F Chumakova

    Likars'Ka Sprava
    |October 14, 2000
    PubMed

    Insights

    Double aortic arch (DAA) can cause intrathoracic airway compressions (IAC) in children, leading to severe respiratory symptoms and complications. Surgical correction is essential for treating this condition, considering anatomical variations.

    Area of Science:

    • Pediatric Cardiology
    • Thoracic Surgery
    • Medical Imaging

    Context:

    • Double aortic arch (DAA) is a congenital vascular anomaly.
    • Intrathoracic airway compressions (IAC) are a significant complication of DAA in pediatric patients.
    • Respiratory distress is a primary clinical manifestation.

    Purpose:

    • To review the clinical presentation, diagnostic methods, and management of intrathoracic airway compressions (IAC) in children with double aortic arch (DAA).
    • To highlight the importance of surgical intervention for DAA-associated IAC.

    Summary:

    • Twenty-eight pediatric patients with DAA causing IAC were monitored.
    • Common symptoms included stridor, dyspnea, asphyxia, and orthopnea, with all patients developing bronchopulmonary complications.
    • Diagnosis involved thoracic roentgenography, esophagography, digital subtraction angiography, and tracheobronchoscopy.
    • Surgical correction was deemed unequivocally indicated, with treatment strategies tailored to anatomical variations and complications.

    Impact:

    • This study underscores the critical need for timely diagnosis and surgical management of DAA-associated IAC in children.
    • Understanding the anatomical variations is crucial for effective surgical planning and improved patient outcomes.
    • Highlights the significant morbidity associated with untreated IAC in pediatric DAA cases.

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