paediatric vascular.html


    
        
            

            
                	
                        	
                        	
                        	
                        
	
                        	
                        	
                        	
                        
	
                        	
                        	
                        	
                        
	
                        	
                        	
                        	
                        
	
                        	
                        	
                        	
                        
	
                        	
                        	
                        	
                        
	
                        	
                        	
                        	
                        
	
                        	
                        	
                        	
                        
	
                        	
                        	
                        	
                        
	
                        	
                        	
                        	
                        
	
                        	
                        	
                        	
                        


            

            
                
                    Paediatric vascular imaging
                

                
                    S K Misser, 
                    MB ChB, FCRad (D) SA
                

                
                    Lake Smit and Partners, Durban
                

                
                    J N Narsai, 
                    MB ChB, FC Paed SA
                

                
                    Crompton Hospital, Durban
                

                
                    Corresponding author:
                     S Misser (misser@lakesmit.co.za)
                

                
                

                
                    Presentation
                

                
                    An early
                    neonate presented with stridor, and the following images were obtained.
                    Figs 1 and 2 are axial post-contrast CT angiogram images at the level
                    of the aortic arch. Note a nasogastric tube 
                    in situ
                    .
                    Figs 3 and 4 are volume-rendered 3D reconstructions of the CT angiogram
                    from the level of the aortic root to the great vessels. Fig. 5 is a
                    coronal reformatted image through the abdomen. Fig. 6 is a virtual
                    bronchoscopy image of the tracheobronchial tree.
                

                
                    Describe
                    the relevant findings and provide the most appropriate clinical
                    diagnosis. Please submit your response by email to Dr Misser at
                    misser@lakesmit.co.za not later than 1 February 2012. The winning
                    respondent will receive a R1 000 award from the RSSA. A detailed
                    diagnosis and discussion will be presented in the next 
                    SAJR
                    .
                

            

            
                
                    
                        
                            

                        
                    

                

                
                    
                        
                            

                        
                    

                

                
                    
                    Fig. 1.
                

                
                    

                    

                    
                    Fig. 2.
                    

                    

                

                
                    
                        
                            

                        
                    

                

                
                    
                    Fig. 3.
                    

                    

                

            

            
                
                    
                        
                            

                        
                    

                

                
                    
                        

                        

                    
                

                

                
                    
                        

                        

                    
                

                
                    
                    

                    
                        
                            
                                

                            
                        

                    

                    
                        
                            Fig. 4.
                        

                        
                            
                            
                        

                        
                            
                            

                            Fig. 5.
                        

                        
                            
                            
                        

                        
                            
                            

                            Fig. 6.