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Vascular ring abnormalities: a retrospective study of 62 cases
A Bonnard1, F Auber, L Fourcade
1Pediatric Surgery Unit, Necker Enfants-Malades, Paris, France.
Journal of Pediatric Surgery
|April 5, 2003
Summary
Surgical treatment for vascular ring anomalies is safe and effective, with most patients experiencing significant improvement. Key factors for successful outcomes include respiratory function preparation and the severity of airway malacia.
Area of Science:
- Cardiovascular Surgery
- Pediatric Surgery
- Thoracic Surgery
Background:
- Vascular ring anomalies are congenital defects affecting the aorta and pulmonary arteries.
- Clinical presentation varies, often including respiratory distress and feeding difficulties.
- Early diagnosis and intervention are crucial for optimal outcomes.
Purpose of the Study:
- To analyze clinical signs and diagnostic methods for vascular ring anomalies.
- To identify factors predicting outcomes after surgical correction.
- To evaluate the safety and efficacy of surgical treatment.
Main Methods:
- Retrospective review of 62 patients with vascular ring abnormalities (1990-2000).
- Analysis of symptom onset, diagnostic imaging (esophagogram, endoscopy), surgical procedures, and postoperative outcomes.
- Statistical analysis using the chi-squared test with Fischer's Exact test.
Main Results:
- Vascular rings diagnosed in 28% at birth, 68% within the first year.
- Associated abnormalities in 16% of patients.
- Surgical treatment in 58 patients resulted in 68% complete improvement, 17% partial, and 15% no improvement.
- Preoperative malacia correlated with poorer outcomes.
Conclusions:
- Surgical correction of congenital vascular ring anomalies is effective and safe.
- Complications are infrequent.
- Prognostic indicators include respiratory function, anomaly type, and degree of malacia.