Abnormal enlargement or malposition of any vascular structure or mass
adjacent to the airway can cause extrinsic airway compression, In chil
dren with previous surgery for congenital heart disease, mass effect f
rom prosthetic devices or alteration in the anatomic position of norma
l structures can lead to extrinsic airway compression, Because many ch
ildren have complex medical problems after cardiac surgery, wheezing m
ay be attributed to cardiac causes and airway way compression may not
be investigated. Furthermore, the distal airway compression seen in th
ese children often is not visualized on chest radiographs, MR imaging
can be useful in evaluating extrinsic airway compression in these pati
ents. We present the MR imaging of two patients with symptomatic extri
nsic airway compression secondary to pulmonary arterial conduits.