[Esophageal atresia, brachio-cephalic arterial trunk and tracheomalacia (author's transl)].
The case of 6 children operated for type III esophageal atresia with re-establishment of continuity is reported owing to the association with anterior tracheal compression by the brachio-cephalic arterial trunk. In the 5 cases, control radiography after the intervention showed a tracheotomy opposite the superior esophageal pouch and sometimes a notch in the anterior trachea. In all of the cases, endoscopy confirmed the presence of compression of the anterior aspect of the trachea by the brachio-cephalic arterial trunk. In 2 cases, esophageal transit was normal, the signs of tracheal compression disappeared after section-reimplantation of the brachio-cephalic trunk. In the other cases esophageal complications existed: stenosis, choking during swallowing, reflux. The surgical treatment of these complications led to the disappearance of the respiratory disorders.
D016122:Brachiocephalic Trunk; D004933:Esophageal Atresia / Q000601:surgery*; D004947:Esophagus / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D011859:Radiography; D014132:Trachea / Q000000981:diagnostic imaging; D014133:Tracheal Diseases / Q000209:etiology*; D014135:Tracheal Stenosis / Q000000981:diagnostic imaging / Q000209:etiology*
Atrésie oesophagienne, tronc artériel brachio-céphalique et trachéomalacie