Noninvasive localization of the aortic arch in infants with tracheoesophageal fistula. An experimental study

G. Velasquez, P. H. Nath, Ch Zollikofer, W. Castaneda-Zuniga, A. Formanek, K. Amplatz

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Abstract

For surgical treatment of patients with tracheoesophageal fistulas the localization of the aortic arch is of great practical importance. Aortography and CT scanning have been advocated as the radiographic techniques of choice. The location of the aortic arch can be diagnosed on a chest x-ray by the deviation of the trachea alone. A barium swallow is not required. The optimal radiographic technique for this purpose was investigated in phantom studies and tested in animals and newborns. It is proposed that in addition to the standard chest x-ray a high kvp film with hardened beam (1 mm copper-1 mm aluminium) be added in order to demonstrate the tracheal deviation. The additional x-ray exposure to the infant is negligible; and the technique is simple, reliable and noninvasive.

Original languageEnglish (US)
Pages (from-to)194-198
Number of pages5
JournalFortschritte auf den Gebiete der Rontgenstrahlen und der Nuklearmedizin
Volume132
Issue number2
StatePublished - Mar 28 1980

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ASJC Scopus subject areas

  • Medicine(all)

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Velasquez, G., Nath, P. H., Zollikofer, C., Castaneda-Zuniga, W., Formanek, A., & Amplatz, K. (1980). Noninvasive localization of the aortic arch in infants with tracheoesophageal fistula. An experimental study. Fortschritte auf den Gebiete der Rontgenstrahlen und der Nuklearmedizin, 132(2), 194-198.