Abstract:
BACKGROUND:Vascular rings are uncommon anomalies in which preferred strategies for diagnosis and management may vary among institutions. In this study, we reported our approach and a review of our 5-year experience. METHODS:From May 2006 to April 2011, 45 children (31 boys) with vascular rings underwent surgical repair at Beijing Children's Hospital. Nineteen patients (26%) had associated heart anomalies. RESULTS:There were two hospital deaths. At follow-up, 11 patients still had intermittent respiratory symptoms, but these symptoms had no effect on growth or physical activities. No patients required reoperation. CONCLUSIONS:The rates of misdiagnosis and missed diagnosis of vascular rings are higher than those of other congenital heart diseases. A high index of clinical suspicion coupled with the use of computed tomography enables early diagnosis. Surgical repair can be performed successfully, although a number of patients will have persistent symptoms.
journal_name
Chin Med J (Engl)journal_title
Chinese medical journalauthors
Bai S,Li XF,Liu CX,Peng Y,Yuan F,Guo J,Song ZJ,Novick WM,Li ZZsubject
Has Abstractpub_date
2012-04-01 00:00:00pages
1504-7issue
8eissn
0366-6999issn
2542-5641journal_volume
125pub_type
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