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Right Aortic Coarctation and Ventricular Septal Defect: An Unusual Cause of Tracheal Compression in Infancy
Authors:Manuel Caceres  Casey Daggett  Joel Lutterman  Christian Gilbert
Abstract:
Objective. Acyanotic congenital heart diseases may occasionally present with tracheobronchial obstruction. Increased pulmonary blood flow against a high‐resistance pulmonary bed may create significant pulmonary artery dilation. Methods. We report an unusual case of ventricular septal defect and right aortic arch coarctation, complicated with distal tracheal compression secondary to a pincer effect created by a right aortic arch and a massively dilated pulmonary artery. Results. High index of suspicion is required to anticipate tracheobronchial compression in acyanotic congenital heart diseases. Conclusion. Fiberoptic bronchoscopy is an invaluable tool to assess for tracheal compression relief following surgical repair and to identify tracheomalacia prior to extubation.
Keywords:Aortic Coarctation  Ventricular Septal Defect  Tracheobronchial Obstruction
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