BMJ Case Reports 2012; doi:10.1136/bcr.11.2011.5075
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Irreversible airway obstruction due to innominate artery compression of the trachea

  1. Heikki Pekka Lukkarinen
  1. Department of Paediatrics, Turku University Central Hospital, Turku, Finland
  1. Correspondence to Dr Heikki Pekka Lukkarinen, hepelu{at}

A 12-year-old girl presented with occasional cough and minor exercise intolerance. Peak expiratory flow (PEF) follow-up suggested asthma and irreversible expiratory obstruction was demonstrated by spirometry. Treatment with inhaled corticosteroids alleviated the symptoms, but a slight obstruction in spirometry persisted (figure 1A). Three years later, a CT …

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