Investigation of vascular compression of the trachea: the complementary roles of barium swallow and echocardiography.

摘要: To determine the preferred investigation of congenital vascular compression trachea, preoperative in 40 patients undergoing surgery 1981-91 was analysed. The importance identification detailed arterial anatomy determining surgical technique also assessed 122 consecutive 1952-91. Of (median age 5 months) seen 1981-91, barium swallow before referral suggested diagnosis 26 27 (96%). Angiography (1/3), bronchoscopy (0/6), and echocardiography (2/6) were generally unhelpful diagnosing referral. Echocardiography performed after 18 since 1986 correct identified 16 (88%); hyperinflation resulted inadequate images two others. Barium is choice to screen for suspected trachea; at centre can define nearly all patients. Further be reserved selected cases.