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Published on: March 27, 2017
[Complete vascular rings]
E Vera de Pedro1, M Martínez Ayúcar, A Marín Gonzalo
1Servicio de Pediatría, Hospital de Txagorritxu, Vitoria, Spain. elenaver2005@yahoo.es
Insights
Complete vascular rings, rare aortic arch anomalies, can cause serious airway and esophageal compression in infants. Early diagnosis requires high suspicion and imaging like CT or MRI for effective management.
Area of Science:
- Cardiology
- Embryology
- Pediatric Surgery
Background:
- Complete vascular rings are congenital anomalies of the aortic arch and great vessels.
- While often incidental, they can cause significant non-cardiac morbidity due to compression.
Observation:
- Six pediatric cases with a mean age of 2.5 months at diagnosis are presented.
- Common symptoms include respiratory distress and feeding difficulties.
Findings:
- The study reviews types of complete vascular rings: double aortic arch, right circumflex aortic arch, and right aortic arch with aberrant left subclavian artery.
- Diagnostic procedures include esophagograms, CT, and MRI.
Implications:
- High clinical suspicion is crucial for timely diagnosis of vascular rings.
- Accurate diagnosis through imaging aids in managing airway and esophageal compression in affected infants.
Abstract:
The complete vascular rings, embryological anomalies of the aortic arch and great vessels, are frequently incidental findings, although patients with significant anomalies can present with upper airway and oesophagus compression, resulting in non-cardiac morbidity. The diagnostic needs high clinical suspicion. We describe six cases, with a mean age of two and a half months at diagnosis. The objective of our review is to describe the type of complete vascular ring (double aortic arch, right circumflex aortic arch and right aortic arch with aberrant left subclavian artery and left ligamentum arteriosus), the most common symptoms (respiratory symptoms including constant high-pitched, aggravated crying) and invasive and non-invasive diagnostic procedures (esophagograms, CT, MRI).
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