Moës C A, Izukawa T, Trusler G A
Arch Otolaryngol. 1975 Dec;101(12):733-8. doi: 10.1001/archotol.1975.00780410025006.
We review innominate artery compression of the trachea in 60 surgically corrected patients and 30 in patients who did not undergo surgery. The symptoms and radiologic features are correlated with the degree of tracheal narrowing at bronchoscopy and with associated defects that may exist. From this study, a history of respiratory distress with "reflex apnea" associated with tracheal narrowing is a strong indication for surgery. Stridor and recurrent respiratory infections are not an indication in themselves, and must be assessed with the severity of tracheal narrowing and presence or absence of associated defects. Surgery resulted in complete or moderate relief in most patients, although the results were less gratifying when subglottic stenosis or a repaired tracheoesophageal fistula existed.
我们回顾了60例接受手术矫正的无名动脉压迫气管患者以及30例未接受手术患者的情况。症状和放射学特征与支气管镜检查时气管狭窄程度以及可能存在的相关缺陷相关。通过这项研究，伴有与气管狭窄相关的“反射性呼吸暂停”的呼吸窘迫病史是手术的强烈指征。喘鸣和反复呼吸道感染本身并非手术指征，必须结合气管狭窄的严重程度以及是否存在相关缺陷进行评估。尽管当存在声门下狭窄或修复后的气管食管瘘时结果不太理想，但手术在大多数患者中带来了完全或中度缓解。
