[Severe respiratory failure secondary to vascular ring. Report of 2 cases]. / Insuficiencia respiratoria grave secundaria a anillo vascular. Informe de dos casos.
Arch Inst Cardiol Mex
; 65(6): 520-7, 1995.
Article
em Es
| MEDLINE
| ID: mdl-8948686
Vascular compression of the airways is an infrequent situation that can be masked by inespecific respiratory symptoms. We present two cases with severe respiratory distress, that needed assisted mechanical ventilation in patients with overdistended lungs which improved when the endotracheal cannula was shifted near the carina. The chest radiograph showed hyperinflation of the lungs; an identation was demonstrated in the esophagogram and the endoscopy demostrated extrinsic esophagical compression. The angiogram documented double aortic arch in the first case and aberrant subclavia artery in the second. Vascular section and liberation of trachea and esophagus were performed with good outcome. The decrease of thoracic overdistention when the cannula was placed in the lower part of the trachea gave the clue to the diagnosis of vascular ring. A high index of suspicion is necessary for an early diagnosis.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Aorta
/
Insuficiência Respiratória
/
Artéria Subclávia
Tipo de estudo:
Screening_studies
Limite:
Female
/
Humans
/
Newborn
Idioma:
Es
Revista:
Arch Inst Cardiol Mex
Ano de publicação:
1995
Tipo de documento:
Article
País de publicação:
México