Tracheal Compression by the Great Arteries in the Mediastinum

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Abstract
The records of 39 patients with tracheobronchial compression by the great arteries treated at the Children's Hospital of Philadelphia were reviewed. In 32 patients with aortic arch anomalies stridor and respiratory infections occurred frequently and x-ray film of the chest with barium swallow was diagnostic. The mortality in this group was seven (21%). In seven patients airway compression was due to an abnormal pulmonary artery and was associated with congenital heart defects in five of these patients. Three of these seven patients died. Severe tracheobronchial damage secondary to extrinsic pressure was seen in several patients and in two patients, one of whom survived, the use of a special tracheostomy tube was needed for several months in order to support an area of tracheomalacia.

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