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Symptomatic anomalies of the aortic arch
Surgery, Gynecology & Obstetrics
|November 1, 1978
Summary
Surgical correction of aortic arch anomalies effectively treated tracheal and esophageal compression in 28 patients. Procedures included dividing double aortic arches, constricting ligaments, or aberrant subclavian arteries, with no hospital deaths.
Area of Science:
- Cardiovascular Surgery
- Pediatric Surgery
- Thoracic Surgery
Background:
- Congenital anomalies of the aortic arch can cause significant compression of the trachea and esophagus.
- Vascular rings and aberrant arteries are common causes of these compressions, particularly in infants.
Purpose of the Study:
- To review the surgical correction of various aortic arch anomalies causing tracheoesophageal compression.
- To evaluate the outcomes of surgical interventions for vascular rings and aberrant subclavian arteries.
Main Methods:
- Retrospective review of 28 patients undergoing surgical correction for aortic arch anomalies since 1949.
- Surgical techniques included division of the smaller limb of double aortic arches, division of the ligamentum arteriosum, and division of aberrant right subclavian arteries.
- Diagnosis was confirmed primarily through esophagograms.
Main Results:
- Fifteen patients had double aortic arches, eight had right aortic arches with a constricting ligamentum arteriosum, and five had aberrant right subclavian arteries.
- Symptoms included stridor in infants and dysphagia in adults.
- No hospital deaths occurred, though one infant with a double aortic arch died post-discharge.
Conclusions:
- Surgical correction of aortic arch anomalies is an effective treatment for tracheoesophageal compression.
- Various aortic arch anomalies can be successfully managed with consistent surgical approaches.
- Early diagnosis and intervention are crucial for favorable outcomes in pediatric patients.