PMID: 11899195Mar 20, 2002Paper

Bronchial compression by posteriorly displaced ascending aorta in patients with congenital heart disease

The Annals of Thoracic Surgery
Y M KimSoo-Jin Kim

Abstract

We encountered several patients with posteriorly displaced ascending aorta and bronchial compression associated with congenital heart disease. We describe the helical computed tomography (CT) findings and explore the mechanism of airway compression. We retrospectively reviewed the clinical data and CT findings of 8 patients with posterior displacement of the ascending aorta. The bronchial stenosis was quantified on reformatted images perpendicular to the main-stem bronchi. On an axial image at the level of main bronchi, we measured depth of retrosternal space, interaortic distance, and aorto-spinal distance. To compare with control, we measured the same variables in 10 control patients. In 7 patients, the main bronchus on the side of the aortic arch was squeezed between the ascending and descending aorta and showed slit-like stenosis. The right pulmonary artery was elongated around the ascending aorta in 5 patients and showed slit-like stenosis in 3. Patients with posterior displacement had significantly larger retrosternal space, smaller interaortic distance, and smaller aorto-spinal distance than did the control group. Aortopexy was undertaken in 3 patients. Follow-up computed tomograms of 2 patients showed improvement. The p...Continue Reading

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Citations

Oct 15, 2003·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Hyun Woo GooChong Hyun Yoon
Sep 27, 2012·Intensive Care Medicine·P P NayakV B Sivarajan
Sep 28, 2013·The Annals of Thoracic Surgery·Hyo Soon AnWhal Lee
Sep 17, 2013·The Annals of Thoracic Surgery·Yun Hee ChangJi Ae Park
Feb 24, 2009·The Annals of Thoracic Surgery·Colleen B GaughanMarco Ricci
Jun 21, 2015·The Journal of Thoracic and Cardiovascular Surgery·Tomomi HasegawaShunsuke Matsushima
Jun 9, 2015·Seminars in Pediatric Surgery·Darren J Fowler, Steve J Gould
Sep 15, 2020·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Wagih M ZayedHowaida El-Said

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