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Vascular Rings and Slings - December 2005

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Diagnosis<br />

CXR (AP <strong>and</strong> lateral)<br />

– Tracheal narrowing <strong>and</strong>/or displacement (lateral)<br />

– Aortic arch location<br />

– Tracheal Position: abnormal deviation to the left<br />

(due to the aorta coursing over the right mainstem bronchus) OR<br />

Midline position with double aortic arch<br />

– Atelectasis, Atelectasis,<br />

hyperinflation, or pneumonia may be present<br />

(especially in pulmonary artery slings)<br />

Barium Esophagram<br />

Barium<br />

– Most important <strong>and</strong> reliable diagnostic tool<br />

Except in anomalous innominate artery<br />

– Posterior (<strong>and</strong> anterior) compression of esophagus on lateral<br />

Except in pulmonary artery sling sling anterior compression only

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