Lima J A, Rosenblum B N, Reilly J S, Pennington D G, Nouri-Moghaddam S
Otolaryngol Head Neck Surg. 1983 Dec;91(6):605-9. doi: 10.1177/019459988309100603.
Tracheoesophageal compression by aortic arch anomalies is rare. Nevertheless, one must keep this entity in mind because it is associated with significant morbidity. Although it is generally agreed that the barium swallow shows when an abnormal vessel is compressing the esophagus, the literature disagrees on whether a bronchoscopy is needed in the evaluation of these patients. Not uncommonly the symptoms of airway obstruction persist after surgery resolves the anatomic defect. To provide a basis for postoperative comparison, we propose that all patients with suspected aortic arch anomalies undergo endoscopy just before their operation. A series of 26 cases of aortic arch anomalies affecting the airway, seen over a period of 29 years, is presented. A discussion of the clinical presentation, the diagnostic and bronchoscopic findings, and the results of surgical treatment are presented in addition to a brief embryologic and anatomic discussion. A case illustrating the value of preoperative and postoperative bronchoscopy is presented.
主动脉弓异常导致的气管食管受压较为罕见。然而，必须牢记这一情况，因为它会引发严重的发病率。尽管人们普遍认为钡餐造影可显示异常血管对食管的压迫，但对于评估这些患者是否需要进行支气管镜检查，文献中存在不同观点。术后解剖缺陷得以解决后，气道梗阻症状仍持续存在的情况并不少见。为了提供术后对比的依据，我们建议所有疑似主动脉弓异常的患者在手术前接受内镜检查。本文报告了在29年期间所见到的一系列26例影响气道的主动脉弓异常病例。除了简短的胚胎学和解剖学讨论外，还介绍了临床表现、诊断和支气管镜检查结果以及手术治疗结果。文中还给出了一个说明术前和术后支气管镜检查价值的病例。
