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Innominate artery compression of the trachea: current concepts
C M Myer1, B J Wiatrak, R T Cotton
1Department of Otolaryngology and Maxillofacial Surgery, University of Cincinnati College of Medicine, Ohio.
The Laryngoscope
|October 1, 1989
Summary
Innominate artery compression of the trachea can affect adolescents and be diagnosed using flow volume loops. Surgical intervention, including artery reimplantation, is a viable option for symptomatic patients.
Area of Science:
- Vascular Surgery
- Pediatric Pulmonology
- Thoracic Surgery
Background:
- Innominate artery compression of the trachea is a vascular anomaly causing airway obstruction in infants.
- The link between this anatomical variant and symptom manifestation remains debated.
Observation:
- Presents cases highlighting unique aspects of innominate artery compression of the trachea.
- Demonstrates that this condition can manifest in adolescent patients.
- Highlights the utility of flow volume loops in documenting airway compromise.
Findings:
- Exercise intolerance is a potential indication for surgical intervention.
- Reimplantation of the innominate artery offers a viable surgical treatment approach.
- Telescopic bronchoscopy is crucial for confirming successful surgical correction.
Implications:
- Urgent surgical repair is recommended for patients experiencing apnea.
- This study expands the understanding of innominate artery compression, its diagnosis, and management in pediatric populations.