Resolution of opisthotonus in respiratory distress by aortopexy

M. Trozzi, V. Briganti, A. Conforti, A. Schiavino, S. Bottero

Research output: Contribution to journalArticlepeer-review


We report a case of worsening respiratory distress associated with opisthotonus secondary to tracheomalacia, a rather unique pathophysiological phenomenon. A 2-month-old male baby was referred to our hospital for respiratory distress syndrome with a noticeable opisthotonus. Examination and investigation confirmed the presence of an aberrant innominate artery compressing the trachea. The infant underwent aortopexy and made a dramatic post-operative recovery. Of special note, the opisthotonus vanished soon after the operation. Opisthotonus is not always related to neurological impairment and may be a warning sign of mediastinal overcrowding in patients with respiratory distress syndrome secondary to vascular compression.

Original languageEnglish
Pages (from-to)1372-1373
Number of pages2
JournalInternational Journal of Pediatric Otorhinolaryngology
Issue number8
Publication statusPublished - Aug 2013


  • Aortopexy
  • Opisthotono
  • Pediatric airway
  • Respiratory distress
  • Tracheomalacia

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Pediatrics, Perinatology, and Child Health


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