| A Case of Vascular Ring Associated with Tracheitis Due to
Type b Haemophilus influenzae |
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Su Hyun Kim1, Yoon Sook Chung1, Sung Hee Oh1, Nam Su Kim1, Hyuck Kim2 |
1Department of Pediatrics, College of Medicine, Hanyang University, Seoul, Korea
2Department of Thoracic Cardiovascular Surgery, College of Medicine, Hanyang University, Seoul, Korea |
| 헤모필루스 인플루엔자 기관염이 확인되면서 진단된 혈관륜 1례 |
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김수현1, 전윤숙1, 오성희1, 김남수1, 김혁2 |
1한양대학교 의과대학 소아과학교실
2한양대학교 의과대학 흉부외과학교실 |
Correspondence:
Sung Hee Oh, Email: sungheeo@hanyang.ac.kr
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| Abstract |
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Vascular ring, originating from abnormal regression of the aortic arch during fetal life, can cause prolonged and recurrent respiratory symptoms and dysphagia when the diagnosis is delayed. We report a 4 month old girl with vascular ring, who had been treated for persistent respiratory symptoms including stridor, wheezing, and dyspnea soon after birth. Initially her respiratory symptoms were thought to be due to bronchiolitis, for which respiratory syncytial virus was confirmed by immunofluorescent staining. Her clinical course was again complicated with tracheitis and pneumonia due to Haemophilus influenzae type b. The possibility of anatomical anomaly was investigated when it was felt to be difficult to insert a suction catheter deep down through a endotracheal tube which was placed for adequate ventilatory management. A three-dimensional chest CT revealed a vascular ring consisting of a double aortic arch. For 5 months following surgery, her respiratory symptoms have slowly been improving. She developed another episode of pneumonia which was milder than the one which occurred before the surgery. |
| Key Words:
Vascular ring, Recurrent respiratory symptoms |
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