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Diagnosis of Anomalous Innominate Artery Syndrome by Spiral CT with 3D Reconstruction of the Airway: Report of One Case

螺旋式電腦斷層掃瞄攝影及立體影像重組應用於診斷異常無名動脈症候群:一病例報告

摘要


喘鳴發生於嬰幼兒表示氣管可能部份阻塞。很少數的病因是出自於血管環壓迫而産生。我們報告一個四個月大罹患反覆性喘鳴的男嬰,利用螺旋式電腦斷層掃瞄攝影及立體影像重組技術,可精確診斷出無名動脈壓迫氣管而造成的狹窄。病人成功的接受動脈固定手術後三個月,他不僅不須服用任何藥物且症狀完全消失。

並列摘要


Stridor in infants is a symptom that indicates partial obstruction of the large airways. Vascular rings are an unusual cause of tracheal compression which can induce stridor in infants and children. We report a 4-month-old boy with recurrent wheezing and stridor for 2 months. Spiral computed tomography (CT) and three-dimensional (3D) reconstruction aided in the diagnosis of external compression on the trachea by an innominate artery. Successful relief of the airway’s obstruction was achieved by aortopexy. Three months after surgery, he was symptom free without any medication.

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