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  • Title: Imaging findings in pediatric patients with persistent airway symptoms after surgery for double aortic arch.
    Author: Fleck RJ, Pacharn P, Fricke BL, Ziegler MA, Cotton RT, Donnelly LF.
    Journal: AJR Am J Roentgenol; 2002 May; 178(5):1275-9. PubMed ID: 11959745.
    Abstract:
    OBJECTIVE: The purpose of this study was to review the imaging findings of children referred for cross-sectional imaging to evaluate persistent airway symptoms after surgical therapy for double aortic arch. CONCLUSION: Airway narrowing is clearly shown on cross-sectional imaging in patients with persistent airway symptoms after surgical therapy for double aortic arch. Two patterns of airway compression are typically seen: narrowing of the trachea at the level of the postsurgical arch and narrowing of the left main bronchus as a result of compression from a midline descending aorta. Both patterns may be seen in patients regardless of whether the left or the right arch has been ligated.
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