Investigation of vascular compression of the trachea

The complementary roles of barium swallow and echocardiography

M. Burch, Seshadri Balaji, J. E. Deanfield, I. D. Sullivan

Research output: Contribution to journalArticle

19 Citations (Scopus)

Abstract

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

Original languageEnglish (US)
Pages (from-to)171-176
Number of pages6
JournalArchives of Disease in Childhood
Volume68
Issue number2
StatePublished - 1993
Externally publishedYes

Fingerprint

Barium
Deglutition
Trachea
Blood Vessels
Echocardiography
Referral and Consultation
Anatomy
Bronchoscopy
Angiography

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Investigation of vascular compression of the trachea : The complementary roles of barium swallow and echocardiography. / Burch, M.; Balaji, Seshadri; Deanfield, J. E.; Sullivan, I. D.

In: Archives of Disease in Childhood, Vol. 68, No. 2, 1993, p. 171-176.

Research output: Contribution to journalArticle

@article{30f553daa691427bb82a9852ab2fecf9,
title = "Investigation of vascular compression of the trachea: The complementary roles of barium swallow and echocardiography",
abstract = "To determine the preferred investigation of congenital vascular compression of the trachea, preoperative investigation in 40 patients undergoing surgery 1981-91 was analysed. The importance of preoperative identification of detailed arterial anatomy in determining surgical technique was also assessed in 122 consecutive patients undergoing surgery 1952-91. Of the 40 patients (median age 5 months) seen 1981-91, barium swallow before referral suggested the diagnosis of vascular compression in 26 of 27 (96{\%}). Angiography (1/3), bronchoscopy (0/6), and echocardiography (2/6) were generally unhelpful in diagnosing vascular compression before referral. Echocardiography was performed after referral in 18 consecutive patients since 1986 and the correct arterial anatomy was identified in 16 (88{\%}); hyperinflation resulted in inadequate images in the two others. Barium swallow is the investigation of choice to screen for suspected vascular compression of the trachea; echocardiography at the referral centre can define the arterial anatomy in nearly all patients. Further investigation can be reserved for selected cases.",
author = "M. Burch and Seshadri Balaji and Deanfield, {J. E.} and Sullivan, {I. D.}",
year = "1993",
language = "English (US)",
volume = "68",
pages = "171--176",
journal = "Archives of Disease in Childhood",
issn = "0003-9888",
publisher = "BMJ Publishing Group",
number = "2",

}

TY - JOUR

T1 - Investigation of vascular compression of the trachea

T2 - The complementary roles of barium swallow and echocardiography

AU - Burch, M.

AU - Balaji, Seshadri

AU - Deanfield, J. E.

AU - Sullivan, I. D.

PY - 1993

Y1 - 1993

N2 - To determine the preferred investigation of congenital vascular compression of the trachea, preoperative investigation in 40 patients undergoing surgery 1981-91 was analysed. The importance of preoperative identification of detailed arterial anatomy in determining surgical technique was also assessed in 122 consecutive patients undergoing surgery 1952-91. Of the 40 patients (median age 5 months) seen 1981-91, barium swallow before referral suggested the diagnosis of vascular compression in 26 of 27 (96%). Angiography (1/3), bronchoscopy (0/6), and echocardiography (2/6) were generally unhelpful in diagnosing vascular compression before referral. Echocardiography was performed after referral in 18 consecutive patients since 1986 and the correct arterial anatomy was identified in 16 (88%); hyperinflation resulted in inadequate images in the two others. Barium swallow is the investigation of choice to screen for suspected vascular compression of the trachea; echocardiography at the referral centre can define the arterial anatomy in nearly all patients. Further investigation can be reserved for selected cases.

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

UR - http://www.scopus.com/inward/record.url?scp=0027462248&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0027462248&partnerID=8YFLogxK

M3 - Article

VL - 68

SP - 171

EP - 176

JO - Archives of Disease in Childhood

JF - Archives of Disease in Childhood

SN - 0003-9888

IS - 2

ER -