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Updated: Oct 1, 2026

Image Acquisition using Portable Sonography for Emergency Airway Management
Published on: September 28, 2022
Imaging findings in pediatric patients with persistent airway symptoms after surgery for double aortic arch
Robert J Fleck1, Preeyacha Pacharn, Bradley L Fricke
1Department of Radiology, Children's Hospital Medical Center, 3333 Burnet Ave., Cincinnati, OH 45229-3039, USA.
Objective:
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.
Conclusion:
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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