Richardson J V, Doty D B, Rossi N P, Ehrenhaft J L
Ann Thorac Surg. 1981 May;31(5):426-32. doi: 10.1016/s0003-4975(10)60994-0.
Forty-two patients with aortic arch anomalies resulting in tracheoesophageal compression were treated during the period 1948 through 1978. These anomalies are important causes of upper respiratory and esophageal obstruction in babies and small children and can be corrected safely with excellent relief of symptoms. Nineteen patients (45%) had a right aortic arch with a ligamentum arteriosum, 17 patients (40%) had double aortic arches, and 6 patients (15%) had aberrant right subclavian arteries. Other associated congenital malformation and mental retardation were seen in 15 patients (36%). Diagnosis was accurately made in 38 patients (90%) by barium esophagogram. Basic surgical principles include exposure through a left thoracotomy, complete identification of the aortic arch anatomy, and division of the constricting ring. Surgical treatment resulted in 2 deaths (5%), and 1 patient died late. Early postoperative respiratory complications were common. All survivors were relieved of their symptoms late (median, 94 months) postoperatively.
1948年至1978年期间，对42例因主动脉弓异常导致气管食管受压的患者进行了治疗。这些异常是婴幼儿上呼吸道和食管梗阻的重要原因，通过手术可以安全矫正，症状能得到显著缓解。19例（45%）患者为右位主动脉弓并伴有动脉导管韧带，17例（40%）患者为双主动脉弓，6例（15%）患者为迷走右锁骨下动脉。15例（36%）患者还伴有其他先天性畸形和智力发育迟缓。38例（90%）患者通过食管钡餐造影得以准确诊断。基本手术原则包括经左胸切口暴露、完整识别主动脉弓解剖结构以及切断压迫环。手术治疗导致2例（5%）患者死亡，1例患者术后晚期死亡。术后早期呼吸并发症较为常见。所有存活患者术后晚期（中位时间94个月）症状均得到缓解。
