Vascular rings: presentation, imaging strategies, treatment, and outcome
| Autor: | Mehmet Güzeloğlu, Baran Ugurlu, Gül Sağın Saylam, Nuh Yilmaz, Mustafa Kir, Handan Cakmakci, Nevin Uzuner, Ulas Karadas, Öztekin Oto |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2012 |
| Předmět: |
Diagnostic Imaging
Male Aortic arch medicine.medical_specialty Double aortic arch Adolescent Cardiovascular Abnormalities Subclavian Artery Aorta Thoracic medicine.artery medicine Humans Prospective Studies Esophagus Child Aorta medicine.diagnostic_test business.industry Angiography Infant Newborn Infant Vascular surgery medicine.disease Aneurysm Magnetic Resonance Imaging Dysphagia Surgery Treatment Outcome medicine.anatomical_structure Echocardiography Cardiothoracic surgery Child Preschool Practice Guidelines as Topic Pediatrics Perinatology and Child Health Female Radiology medicine.symptom Deglutition Disorders Tomography X-Ray Computed Cardiology and Cardiovascular Medicine business Vascular Surgical Procedures Follow-Up Studies |
| Popis: | This study aimed to evaluate the presenting symptoms, the effectiveness of imaging methods, and the surgical treatment of vascular rings. Data for 44 patients (32 enrolled prospectively, 12 reviewed retrospectively) over a 10-year period in a tertiary referral center were analyzed. These patients comprised 25 patients with a left aortic arch and an aberrant right subclavian artery, 13 patients with a right aortic arch and a left subclavian artery originating from Kommerell's diverticulum, 1 patient with a right aortic arch and an aberrant left subclavian artery, 3 patients with a double aortic arch, and 2 patients with a pulmonary sling. Respiratory symptoms were found in 25 patients and dysphagia in 6 patients. Atypical symptoms such as reflex apnea, cyanosis, syncope episodes, and exercise-induced wheezing were noted in five patients. Associated congenital heart defects were detected in 41% of the patients. The diagnostic yield was 95.23% for barium esophagography, 54.54% for echocardiography, and 66.66% for computed tomography. The anatomy could be correctly identified by magnetic resonance imaging (MRI) in 97.43% and by angiography in 90.5% of the patients. Of the 30 patients who underwent surgery, 80% were completely relieved of symptoms during a mean follow-up period of 25 +/- A 33.5 months. Vascular rings should not be overlooked in infants with atypical symptoms. The authors' diagnostic procedure of choice is MRI because it is superior to angiography for delineating the relationship between abnormal vascular structures, trachea, and esophagus. |
| Databáze: | OpenAIRE |
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