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O-Ring Aortic Banding Versus Traditional Transverse Aortic Constriction for Modeling Pressure Overload-Induced Cardiac Hypertrophy
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Surgical Approaches for Vascular-Related Aerodigestive Compression.

Sairam Palaparthi1, Nicholas A Oh1, Benjamin Zendejas-Mummert2

  • 1Department of Cardiac Surgery, Boston Children's Hospital, Boston, Massachusetts.

Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual
|May 6, 2026
PubMed
Summary

Vascular compression of the aerodigestive tract, caused by congenital or acquired conditions, requires multidisciplinary evaluation and individualized surgical correction. Advanced imaging and 3D models aid in planning and confirming relief of these complex conditions.

Keywords:
aberrant subclavianarch anomaliesdysphagiatracheobronchomalacia

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Last Updated: May 8, 2026

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Area of Science:

  • Cardiovascular Surgery
  • Pediatric Surgery
  • Thoracic Surgery

Background:

  • Aerodigestive compression syndromes stem from vascular anomalies, categorized as congenital or acquired.
  • Congenital causes include aortic arch anomalies and branching variations.
  • Acquired causes are predominantly postsurgical, presenting unique challenges.

Purpose of the Study:

  • To outline the classification and management of vascular aerodigestive compression syndromes.
  • To describe the diagnostic and surgical approaches employed at Boston Children's Hospital.
  • To emphasize the importance of a multidisciplinary approach for complex cases.

Main Methods:

  • Multidisciplinary team evaluation.
  • Diagnostic studies: echocardiography, esophagram, CT angiography, dynamic bronchoscopy.
  • Surgical correction utilizing 3D models, various surgical approaches (thoracotomy, sternotomy, VATS), and adjunct procedures (aortopexy, tracheopexy).

Main Results:

  • Comprehensive understanding of anatomic and physiologic complexities.
  • Individualized surgical plans developed using 3D models.
  • Confirmation of compression relief through intraoperative bronchoscopy.

Conclusions:

  • Vascular aerodigestive compression syndromes require a tailored, multidisciplinary management strategy.
  • Advanced imaging and surgical techniques, including 3D modeling and intraoperative bronchoscopy, are crucial for successful outcomes.
  • Effective treatment relies on precise diagnosis and individualized surgical intervention.