Singhal Manphool, Gupta Pankaj, Singh Rana Sandip, Rohit Manoj Kumar, Sodhi Kushaljit Singh, Khandelwal Niranjan
Department of Radiodiagnosis and Imaging, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
Department of Radiodiagnosis and Imaging, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
Curr Probl Diagn Radiol. 2015 Nov-Dec;44(6):505-10. doi: 10.1067/j.cpradiol.2015.04.005. Epub 2015 Apr 24.
Airways compression by vascular structures is one of the important comorbidities of congenital heart disease with incidence of approximately 1%-2% in children. Airways compression is a consequence of abnormal configuration of the great vessels producing a vascular ring with enlargement of normal structures (pulmonary arteries or cardiac chambers) or because of surgery. A high index of suspicion for vascular airway compression is important in children with recurrent respiratory complaints. Early diagnosis and management are essential, as chronic airway compression causes significant morbidity. As the underlying anatomical patterns tend to be highly complex, presurgical imaging assessment is essential.
血管结构对气道的压迫是先天性心脏病的重要合并症之一,在儿童中的发病率约为1%-2%。气道压迫是大血管异常构型的结果,这种异常构型会形成一个血管环,导致正常结构(肺动脉或心腔)增大,或者是手术所致。对于反复出现呼吸道症状的儿童,高度怀疑血管性气道压迫很重要。早期诊断和治疗至关重要,因为慢性气道压迫会导致严重的发病情况。由于潜在的解剖模式往往高度复杂,术前影像学评估必不可少。