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Aortic Ring Assay
09:12

Aortic Ring Assay

Published on: November 24, 2009

Clinical course of vascular rings and risk factors associated with mortality

Yoon Jung Suh1, Gi Beom Kim, Bo Sang Kwon

  • 1Department of Pediatrics, Seoul National University Children's Hospital, Seoul, Korea.

Korean Circulation Journal
|May 8, 2012
PubMed

Insights

Vascular rings, anomalies of great arteries, can cause serious health issues. Complex heart disease is a significant risk factor for mortality in these patients, highlighting the need for early diagnosis and intervention.

Area of Science:

  • Cardiology
  • Pediatric Surgery
  • Medical Imaging

Background:

  • Vascular rings are congenital anomalies of the great arteries.
  • These anomalies can lead to significant respiratory and feeding difficulties in infants and children.
  • Understanding risk factors for mortality is crucial for managing these patients.

Purpose of the Study:

  • To analyze a cohort of patients diagnosed with vascular rings.
  • To identify and evaluate risk factors associated with mortality in patients with vascular rings.

Main Methods:

  • Retrospective review of patients diagnosed with vascular rings between 1997 and 2010.
  • Diagnostic confirmation using cardiac computed tomography (CT) or magnetic resonance imaging (MRI).

Main Results:

  • Thirty-five patients with vascular rings were identified, with a median diagnosis age of 7 months.
  • Common types included double aortic arch, right aortic arch with persistent left ligamentum arteriosum, aberrant subclavian artery, and pulmonary sling.
  • Fifteen patients had associated cardiovascular anomalies, and twenty underwent surgery; mortality was significantly linked to complex heart disease (p=0.002).

Conclusions:

  • Vascular rings encompass diverse anomalies with varying prognoses.
  • Complex heart disease is a significant predictor of mortality in vascular ring patients.
  • Prompt diagnosis and surgical intervention are vital for symptomatic individuals.
Abstract

Keywords:
Clinical characteristicsCongenital heart diseaseMortalityPulmonary artery slingVascular rings

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