Endoscopy for the initial suspicion of vascular rings in tracheoesophageal compressions: Correlation with surgical findings

Furuya, María E.Y.; Vargas, Mario H.; Ramírez-Figueroa, Jorge Luis; Félix-Heredia, José Luis; González-Ortiz, Beatriz; Rodríguez-Hernández, Lydia; Vera-Canelo, José Manuel

doi:10.1002/ppul.21216

Cited by 5 publications

(5 citation statements)

References 18 publications

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“…The main features of the VRs are focused in Table , as reported in the case series of the past 10 years in literature . CHD associated with VR are summarized in Table .…”

Section: Introductionmentioning

confidence: 99%

“…The initial diagnosis of innominate artery compression is nearly always made with bronchoscopy, classically showing a pulsatile anterior compression of the trachea extending from left to right at a location closer to the vocal cords; in particular, it has been defined significant when the extent of the compression is more than 70–80% of the lumen of the trachea . In cases of pulmonary artery sling, bronchoscopy is required to assess for associated complete tracheal rings …”

Section: Introductionmentioning

confidence: 99%

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Congenital vascular rings: A clinical challenge for the pediatrician

et al. 2015

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Vascular rings are congenital anomalies that lead to variable degrees of respiratory problems or feeding difficulties by forming a complete or partial ring compressing the trachea, the bronchi, and the esophagus. The clinical diagnosis of vascular rings is often challenging for the pediatrician because the clinical manifestations are heterogeneous and nonspecific. Symptoms can vary from wheezing, stridor, dyspnea, and/or dysphagia to life-threatening conditions; however, they may not be present. The aim of this study is to review the recent literature on this subject and describe new developments in diagnostics and imaging.

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“…The main features of the VRs are focused in Table , as reported in the case series of the past 10 years in literature . CHD associated with VR are summarized in Table .…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Congenital vascular rings: A clinical challenge for the pediatrician

et al. 2015

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“…In anatomyassociated anomalies, different pathologic lesions are associated with unique bronchoscopic and radiographic findings. 15 Involvement of the upper trachea is always found in children with a double aortic arch. In pulmonary arterial sling lesions, the course of the left pulmonary artery usually results in compression of the lower trachea until the carina and right main bronchus, sometimes simultaneously with the left main bronchus.…”

Section: Discussionmentioning

confidence: 99%

“…The location of airway compression depends on the site of the cardiovascular pathology. In anatomy-associated anomalies, different pathologic lesions are associated with unique bronchoscopic and radiographic findings 15 . Involvement of the upper trachea is always found in children with a double aortic arch.…”

Section: Discussionmentioning

confidence: 99%

Cardiovascular-associated tracheobronchial obstruction in children

Lai

Liao²,

Wong

2012

Cardiol Young

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Tracheobronchial compression of cardiovascular origin is an uncommon and frequently unrecognised cause of respiratory distress in children. The compression may be due to encircling vessels or dilated neighbouring cardiovascular structures. Bronchoscopy and detailed radiography, especially computed tomography and magnetic resonance imaging, are among the most powerful diagnostic tools. Few previous reports have addressed the relationship between bronchoscopic findings and underlying cardiovascular anomalies. The objective of this study was to correlate bronchoscopic and radiographic findings in children with cardiovascular-associated airway obstruction. A total of 41 patients were recruited for the study. Patients with airway obstruction were stratified on the basis of the aetiology of the cardiovascular structures and haemodynamics into an anatomy-associated group and a haemodynamics-associated group. In the anatomy-associated group, stenosis and malacia were found with comparable frequency on bronchoscopy, and the airway obstructions were mostly found in the trachea (71% of patients). In the haemodynamics-associated group, malacia was the most common bronchoscopic finding (85% of patients), and nearly all locations of airway involvement were in the airway below the carina (90% of patients). The tracheal compression was usually caused by aberrant systemic branching arteries in the anatomy-associated group. In the haemodynamics-associated group, the causal relationships varied. Tracheal compression was often caused by lesions of the main pulmonary artery and aorta, whereas obstruction of the right main bronchus was caused by lesions of the main pulmonary artery and right pulmonary artery. The causes of left main bronchus compression were more diverse. In summary, the bronchoscopic presentations and locations are quite different between these two groups.

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“…Although endoscopy has been proposed helpful in the diagnosis of the condition [2,11,12], there is only a single report of its implication in the treatment of dysphagia caused by ARSA [13]. Given its more widespread availability, ease of performance, lower complication and morbidity profile, and lower cost compared to surgical repair, endoscopic dilation may be considered a suitable treatment alternative in patients who are not a surgical candidate or do not consent for surgery.…”

Section: Introductionmentioning

confidence: 99%