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[Symptomatic vascular rings in infancy. Surgical treatment in 19 patients (author's transl)]
Insights
Surgical treatment for pediatric vascular rings, rare congenital anomalies, can be successful. Early diagnosis and post-operative care are crucial for optimal outcomes in infants and young children.
Area of Science:
- Cardiology
- Pediatric Surgery
- Congenital Malformations
Context:
- Vascular rings are rare congenital anomalies causing severe symptoms in infants.
- Surgical intervention is necessary for symptomatic cases.
- This study focuses on surgical treatment in patients under two years of age.
Purpose:
- To report the authors' experience in surgically treating pediatric patients with complete or incomplete vascular rings.
- To analyze symptoms, diagnostic methods, surgical indications, techniques, and outcomes.
- To highlight challenges in early diagnosis and postoperative management.
Summary:
- The study reviewed 19 pediatric patients (75% under six months) with severe vascular ring symptoms.
- Common diagnoses included double aortic arch, right aortic arch with left ligamentum arteriosum, and aberrant subclavian artery.
- Surgical correction was performed, with a focus on technique and results.
Impact:
- Surgical correction of vascular rings is feasible with low operative mortality.
- Emphasizes the critical need for improved early diagnosis and specialized postoperative care.
- Contributes to understanding the management of these rare pediatric cardiovascular conditions.
Abstract:
The Authors report their experience in the surgical treatment of 19 patients under two years of age (75% under six months), with severe symptoms for the presence of a complete or incomplete vascular ring. Twelve patients had double aortic arch, two had a right aortic arch with a left ligamentum arteriosum, four a symptomatic retroesophageal right subclavian artery and one an abnormally placed innominate artery. Symptoms, methods of diagnosis, indications to the surgical treatment, surgical techniques and late results are considered. The Authors remark that even if correction of these rare congenital malformations may be simple and with a low operative mortality, many problems exist in the early diagnosis and in the post-operative treatment of these patients.