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Vascular ring: does magnetic resonance imaging replace angiography?

K S Azarow1, R H Pearl, M A Hoffman

  • 1Department of Surgery, Walter Reed Army Medical Center, Washington, DC 20307-5001.

The Annals of Thoracic Surgery
|May 1, 1992
PubMed
Summary
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Vascular rings, congenital anomalies causing tracheal or esophageal compression, were surgically treated in 21 patients. Magnetic resonance imaging offers accurate diagnosis without angiography risks.

Area of Science:

  • Cardiology
  • Pediatric Surgery
  • Diagnostic Imaging

Background:

  • Vascular rings are congenital anomalies that can lead to significant compression of the trachea and esophagus.
  • Symptoms vary depending on the degree and location of compression, impacting patient health.
  • Accurate diagnosis and appropriate surgical intervention are crucial for managing vascular rings.

Purpose of the Study:

  • To review surgical outcomes for patients with symptomatic vascular rings.
  • To evaluate diagnostic modalities used for vascular ring identification.
  • To assess the effectiveness of different surgical approaches.

Main Methods:

  • Retrospective review of 21 patients operated on for vascular ring symptoms between 1958 and 1991.
  • Analysis of diagnostic workup including chest roentgenography, barium swallow, aortography, and magnetic resonance imaging (MRI).

Related Experiment Videos

  • Review of surgical approaches, including left and right thoracotomy.
  • Main Results:

    • Twenty out of 21 patients were symptomatic, with most experiencing tracheal compression.
    • Diagnostic methods evolved, with MRI replacing aortography in later years.
    • Five variants of vascular ring were surgically diagnosed; surgical approach was guided by preoperative imaging.

    Conclusions:

    • Vascular rings require timely diagnosis and surgical correction.
    • While barium swallow can aid diagnosis, advanced imaging like MRI provides crucial data for surgical planning.
    • MRI is a valuable tool for diagnosing vascular rings, offering accurate information without the risks of angiography.