Subglottic Hemangioma Treated With Propranolol

Figure 1. Pretreatment tracheobron-choscopy. Figure 2. Pretreatment CTA of the neck. DESCRIPTION A 3-month-old girl child was admitted to the pediatrics service with a 1-month history of respiratory distress and stridor, which had acutely worsened over the previous day and led to a brief episode of apnea. The stridor was biphasic in nature with a more pronounced inspiratory component and was exacerbated by agitation and supine positioning. Initial bedside fiberoptic examination by otolaryngology did not reveal any clear structural abnormalities , but it was unable to assess beyond the vocal cords. Flexible bronchoscopy on hospital day 4, however, revealed severe narrowing of the subglottis from a left-sided lesion. She was transferred to the pediatric intensive care unit for closer monitoring and a subsequent computed tomography angiogram (CTA) of the neck revealed a large subglottic hemangioma.