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Aortic Ring Assay
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Vascular rings.

Carl L Backer1, Michael C Mongé1, Andrada R Popescu2

  • 1Division of Cardiovascular-Thoracic Surgery, Ann & Robert H. Lurie Children's Hospital of Chicago, Box 22, 225 E. Chicago Ave, Chicago, Illinois 60611; Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois.

Seminars in Pediatric Surgery
|June 16, 2016
PubMed
Summary
This summary is machine-generated.

Vascular rings are congenital aortic arch anomalies compressing the airway and esophagus. Diagnosis via CT imaging and surgical intervention offer excellent outcomes with symptom resolution.

Keywords:
Double aortic archKommerell diverticulumPulmonary artery slingRight aortic archSlide tracheoplastyVascular rings

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Area of Science:

  • Cardiology
  • Pediatric Surgery
  • Radiology

Background:

  • Vascular rings are congenital anomalies of the aortic arch system.
  • These anomalies can compress the esophagus and trachea, leading to significant symptoms.
  • Common types include double aortic arch and right aortic arch with left ligamentum.

Purpose of the Study:

  • To review the diagnosis and management of vascular rings.
  • To highlight associated pathologies and current treatment strategies.
  • To emphasize the importance of comprehensive evaluation and surgical outcomes.

Main Methods:

  • Diagnosis is primarily established using CT imaging for detailed anatomical assessment.
  • Echocardiography is recommended to evaluate for congenital heart disease.
  • Bronchoscopy is utilized to assess tracheal and bronchial pathology.

Main Results:

  • CT imaging accurately delineates vascular ring anatomy and associated tracheal issues.
  • Associated congenital heart disease is common, necessitating echocardiography.
  • Surgical intervention yields excellent outcomes with symptom resolution.

Conclusions:

  • Vascular rings require accurate diagnosis through advanced imaging like CT.
  • Comprehensive evaluation including echocardiography and bronchoscopy is crucial.
  • Surgical treatment for vascular rings is highly effective, leading to symptom resolution.