[Aberrant right subclavian artery in children examined at the National Institute of Cardiology Ignacio Chavez (1992-2012)].

Autor:	Mijangos-Vázquez R; Departamento de Cardiología Pediátrica, Instituto Nacional de Cardiología Ignacio Chávez, México, D. F., México. Electronic address: dr.rmijangos@gmail.com., Patiño-Bahena E; Departamento de Cardiología Pediátrica, Instituto Nacional de Cardiología Ignacio Chávez, México, D. F., México., Martínez-García A; Departamento de Cardiología Pediátrica, Instituto Nacional de Cardiología Ignacio Chávez, México, D. F., México., Herrera J; Departamento de Ecocardiografía, Instituto Nacional de Cardiología Ignacio Chávez, México, D. F., México., Calderón-Colmenero J; Departamento de Cardiología Pediátrica, Instituto Nacional de Cardiología Ignacio Chávez, México, D. F., México., Buendía-Hernández A; Departamento de Cardiología Pediátrica, Instituto Nacional de Cardiología Ignacio Chávez, México, D. F., México., Soto-López ME; Departamento de Inmunología, Instituto Nacional de Cardiología Ignacio Chávez, México, D.F., México.
Jazyk:	Spanish; Castilian
Zdroj:	Archivos de cardiologia de Mexico [Arch Cardiol Mex] 2014 Jul-Sep; Vol. 84 (3), pp. 155-61. Date of Electronic Publication: 2014 Jul 04.
DOI:	10.1016/j.acmx.2013.10.010
Abstrakt:	Objectives: Congenital vascular malformations of the major arteries in the chest have been classified into 5 groups: 1) double aortic arch; 2) right aortic arch with left ligament or persistent ductus arteriosus; 3) aberrant subclavian artery; 4) aberrant left pulmonary artery, and 5) anomalous innominate artery. We reviewed the patients with aberrant right subclavian artery and their treatment. Methods: We studied retrospectively the records of 29 patients with aberrant right subclavian artery in childhood, from January 1992 to December 2012, analyzing the following variables: age at onset, clinical manifestations, associated cardiovascular defects, diagnosis and surgical approach method. Results: We found that most patients have an asymptomatic course, only 31% of them course with symptoms during the first year of life, with an incidental diagnosis of 35% during catheterization or other imaging studies. Patent ductus arteriosus was the most frequently associated congenital malformation, with 13%. Down's syndrome was found in 21%. The most common treatment was surgical section of the aberrant subclavian artery to release the esophagus. Conclusions: This vascular abnormality must be suspected in those patients with dysphagia, dyspnea, chest pain during feeding or breathing difficulties. A significant number of patients are not diagnosed in time, some reach adulthood without a diagnosis. This malformation is often found in imaging studies when evaluating the aorta or in a gastroesophageal reflux study, in which the barium bolus reveals the extrinsic compression of the esophagus. (Copyright © 2013 Instituto Nacional de Cardiología Ignacio Chávez. Published by Masson Doyma México S.A. All rights reserved.)
Databáze:	MEDLINE
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