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Richard J. H. Smith, MD; Michael C. F. Smith, MB, BS; L. Paul Glossop, FRCS; C. Martin Bailey, FRCS; John N. G. Evans, FRCS

Arch Otolaryngol. 1984;110(2):82-87.

Abstract
• Congenital vascular anomalies of the great vessels causing marked tracheoesophageal compression are rare. Notable symptoms usually manifest in the neonatal period and include stridor, repeated cyanotic attacks, recurrent pneumonia, and dysphagia. Although the diagnosis can often be made from barium swallow studies, the preoperative examination should nevertheless include an endoscopy. This is essential if the degree of tracheomalacia is to be adequately assessed and other tracheobronchial abnormalities are to be identified. Possible airway problems can then be anticipated, thus minimizing postoperative respiratory difficulties.

(Arch Otolaryngol 1984;110:82-87)

Author Affiliations
From the Department of Otolaryngology, The Hospital for Sick Children, London. Dr R. J. H. Smith is now with the Department of Otolaryngology, Baylor College of Medicine, Houston.

Footnotes
Accepted for publication Aug 29, 1983.

Reprint requests to Department of Otolaryngology, Baylor College of Medicine, 1 Baylor Plaza, Houston, TX 77030 (Dr R. J. H. Smith).

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