Vascular Rings and Slings - December 2005
Vascular Rings and Slings - December 2005
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