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November 1971

Tracheal Compression by the Great Arteries in the Mediastinum: Report of 39 Cases

Author Affiliations

From the departments of surgery (Drs. Park, Waldhausen, Aberdeen, and Johnson) and pediatrics (Dr. Friedman), University of Pennsylvania School of Medicine and the Children's Hospital of Philadelphia, Philadelphia. Dr. Waldhausen is now with the Milton S. Hershey Medical Center and the Pennsylvania State University, Hershey, Pa.

Arch Surg. 1971;103(5):626-632. doi:10.1001/archsurg.1971.01350110128021

The records of 39 patients with tracheobronchial compression by the great arteries treated at the Children's Hospital of Philadelphia were reviewed. In 32 patients with aortic arch anomalies stridor and respiratory infections occurred frequently and x-ray film of the chest with barium swallow was diagnostic. The mortality in this group was seven (21%). In seven patients airway compression was due to an abnormal pulmonary artery and was associated with congenital heart defects in five of these patients. Three of these seven patients died. Severe tracheobronchial damage secondary to extrinsic pressure was seen in several patients and in two patients, one of whom survived, the use of a special tracheostomy tube was needed for several months in order to support an area of tracheomalacia.

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