We describe the design and performance of a long coherence length, swept-source anatomical OCT (aOCT) system for pediatric airway imaging. A fiber-optic catheter is designed to be accommodated by a small-bore bronchoscope, and is scanned distally in a helical scan pattern to provide aOCT during bronchoscopy. We discuss particular challenges associated with the need for large imaging range, low SNR roll-off, and small catheter diameter. We present 3-D visualizations of airway phantoms and discuss optimization of the airway surface geometry obtained by aOCT. Accurate reconstruction of airway geometry will enable predictive modeling of patients suffering from airway obstruction.