Related Experiment Videos
[Vascular rings]
Insights
Vascular rings, particularly double aortic arch, require prompt diagnosis in infants presenting with respiratory distress. Early surgical correction offers excellent outcomes with minimal risk.
Area of Science:
- Pediatric Cardiology
- Thoracic Surgery
- Congenital Heart Disease
Background:
- Vascular rings are rare congenital anomalies.
- Symptoms often manifest early in infancy, including respiratory distress and stridor.
- Double aortic arch is the most common type.
Purpose of the Study:
- To present cases of various vascular rings.
- To emphasize the importance of early diagnosis and surgical intervention.
- To highlight the effectiveness and safety of surgical correction.
Main Methods:
- Retrospective review of 22 cases with different types of vascular rings.
- Focus on cases of double aortic arch (15 cases).
- Analysis of surgical outcomes and patient demographics.
Main Results:
- 15 cases of double aortic arch were identified.
- 12 infants underwent surgery before one year of age due to severe symptoms.
- No mortality was observed in the operated cases.
- Early onset of symptoms and respiratory distress were prominent features.
Conclusions:
- Vascular rings necessitate differential diagnosis in newborns and infants with respiratory distress or laryngeal stridor.
- Prompt surgical intervention is crucial for favorable outcomes.
- Surgical correction of vascular rings is highly effective and carries minimal risk.
Abstract:
22 cases of several types of vascular rings are presented. Most of them were double aortic arch (15): 12 were operated on without mortality before the first years of age because of the great severity of the symptoms. The precocity of the symptomatology and the predominance of the respiratory distress is emphasized. Our data point out to the importance of the differential diagnosis of vascular rings in newborns and infants in the presence of laryngeal stridor or respiratory distress, essentially because the surgical correction is very effective and the risk of the intervention is minimal.