Perioperative Evaluation of Airways in Patients With Arch Obstruction and Intracardiac Defects Won Kyoung Jhang, MD, Jeong-Jun Park, MD, PhD, Dong-Man.

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Perioperative Evaluation of Airways in Patients With Arch Obstruction and Intracardiac Defects Won Kyoung Jhang, MD, Jeong-Jun Park, MD, PhD, Dong-Man Seo, MD, PhD, Hyun Woo Goo, MD, PhD, MiJeung Gwak, MD, PhD The Annals of Thoracic Surgery Volume 85, Issue 5, Pages 1753-1758 (May 2008) DOI: 10.1016/j.athoracsur.2008.01.059 Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 A 2-month-old girl with coarctation of aorta with ventricular septal defect and double-outlet right ventricle. (A) The oblique sagital computed tomography image of aorta before arch repair. The arrow represents the distance between ascending and descending aorta. (B) The postoperative oblique sagittal computed tomography image of aorta after end-to-side anastomosis arch repair. The arrow shows shortened distance between ascending and descending aorta. The Annals of Thoracic Surgery 2008 85, 1753-1758DOI: (10.1016/j.athoracsur.2008.01.059) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 This diagram summarizes the present study. Each path shows how preoperative (preop) and postoperative computed tomography (CT) evaluation, airway compression detection, and additional procedures were performed for each patient. (op = operation; pts = patients.) The Annals of Thoracic Surgery 2008 85, 1753-1758DOI: (10.1016/j.athoracsur.2008.01.059) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 A 3-day-old female baby with coarctation of aorta and ventricular septal defect. Preoperative computed tomography (CT) images: (A) airway volume-rendered image. Complete luminal compression appears in the left main bronchus (arrow); (B) axial CT image shows that left main bronchus is compressed by right pulmonary artery (circle). Postoperative CT images: (C) image of relieved airway compression (arrow); (D) axial image shows anteriorly translocated right pulmonary artery and relieved left main bronchus compression (circle). The Annals of Thoracic Surgery 2008 85, 1753-1758DOI: (10.1016/j.athoracsur.2008.01.059) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions