Great vessel anomalies and their impact on the surgical treatment of tracheobronchomalacia
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Read the article on jpedsurg.org ↗Article · Aug 2019 · 1 min read
In brief
In brief
Retrospective study of 209 pediatric patients undergoing surgery for tracheobronchomalacia found 57% had concurrent great vessel anomalies causing tracheobronchial compression. Non-esophageal atresia patients presented later and had higher rates of aortic arch anomalies, with innominate artery compression being the most common finding.
Written by the GCMD Library team from the article.
Background
Tracheobronchial compression (TBC) from great vessel anomalies (GVA) can contribute to tracheobronchomalacia (TBM) symptoms. The frequency, impact on symptoms and optimal management of GVA in these patients, with or without a history of esophageal atresia (EA), are still unclear.
Study design
Patients who underwent surgery for TBM/ TBC between 2001 and 2017 were reviewed. Demographics, type of GVA, and operative interventions were collected. The frequency and treatment modalities of GVA between EA and non-EA patients were compared.
Results
Overall, 209 patients met criteria; 120 (57.4%) patients had at least one GVA, including double aortic arches (n = 4, 1.9%), right aortic arches (n = 14, 6.7%), aberrant right subclavian arteries (n = 15, 7.2%), and innominate artery compression (n = 71, 34.0%). Non-EA patients were more likely to have surgery later in life (29.5 months versus 16 months, p = 0.0002), double aortic arch (p = 0.0174), right aortic arch (p