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In infants, the site of the aortic arch is frequently inferred from the position of the intrathoracic trachea.
We retrospectively reviewed the plain frontal chest radiographs of 72 patients with cyanotic congenital heart disease and right arotic arch documented by cardiac catheterization.
In infants, the position of the trachea was variable: 47% had the trachea on the right, 33% had the trachea midline and in 7% the trachea was on the left.
As the child grows, the aortic arch progressively indents the trachea, and the descending aorta is better visualized.
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