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Charles A. F. Moës, MD; Teruo Izukawa, MD, FRCP(C); George A. Trusler, MD, FRCS(C)

Arch Otolaryngol. 1975;101(12):733-738.

Abstract
• We review innominate artery compression of the trachea in 60 surgically corrected patients and 30 in patients who did not undergo surgery. The symptoms and radiologic features are correlated with the degree of tracheal narrowing at bronchoscopy and with associated defects that may exist. From this study, a history of respiratory distress with "reflex apnea" associated with tracheal narrowing is a strong indication for surgery. Stridor and recurrent respiratory infections are not an indication in themselves, and must be assessed with the severity of tracheal narrowing and presence or absence of associated defects. Surgery resulted in complete or moderate relief in most patients, although the results were less gratifying when subglottic stenosis or a repaired tracheoesophageal fistula existed.

(Arch Otolaryngol 101:733-738, 1975)

Author Affiliations
From the Department of Radiology (Dr Moës and the divisions of cardiology (Dr Izukawa) and cardiovascular surgery (Dr Trusler), the Hospital for Sick Children, Toronto.

Footnotes
Accepted for publication June 26, 1975.

Reprint requests to the Department of Radiology, The Hospital for Sick Children, 555 University Ave, Toronto, Ontario M5G 1X8, Canada (Dr Moës).

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