Quantified evaluation of tracheal compression in pediatric complex congenital vascular ring by computed tomography

Rong Xu1, Ke Shi1, Zhi-Gang Yang2

  • 1Department of Radiology, West China Hospital, Sichuan University, 37# Guo Xue Xiang, Chengdu, Sichuan, 610041, China.

Scientific Reports
|July 27, 2018
PubMed

Insights

Early diagnosis of pediatric vascular ring (VR) with congenital heart disease (CHD) is crucial. Dual-source CT effectively quantifies tracheal compression, aiding surgical decisions for VR patients.

Area of Science:

  • Cardiology
  • Pediatric Surgery
  • Radiology

Background:

  • Vascular ring (VR) associated with congenital heart disease (CHD) requires timely diagnosis and surgical intervention.
  • Accurate assessment of tracheal compression is vital for successful VR repair surgery in children.

Purpose of the Study:

  • To quantitatively assess tracheal compression in pediatric patients with VR and CHD using dual-source computed tomography (DSCT).
  • To provide crucial information for surgical decision-making in VR cases.
  • To correlate the degree of tracheal compression with symptom severity and surgical outcomes.

Main Methods:

  • Quantitative measurements of tracheal dimensions (short diameter, long diameter, area, length) were performed using DSCT in 49 VR patients with CHD and 56 controls.
  • The degree of tracheal compression was assessed and correlated with clinical symptoms.
  • Agreement analysis was conducted for different compression ratio metrics (1-long diameter ratio, 1-short diameter ratio, 1-area ratio).

Main Results:

  • A strong correlation (r=0.84) was observed between greater tracheal compression on DSCT and more severe symptoms in VR patients with CHD.
  • Significant differences in tracheal compression were found between VR patients who underwent surgery and those who did not (P=0.002).
  • High agreement was noted among the (1-long diameter ratio), (1-short diameter ratio), and (1-area ratio) metrics.

Conclusions:

  • DSCT provides accurate quantitative data on tracheal compression in pediatric VR with CHD.
  • The 1-area ratio derived from DSCT is a valuable metric for evaluating tracheal compression and may aid in VR surgical repair planning.

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