Surgical treatment for vascular anomalies and tracheoesophageal compression.

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 journal

authors

Bai S,Li XF,Liu CX,Peng Y,Yuan F,Guo J,Song ZJ,Novick WM,Li ZZ

subject

Has Abstract

pub_date

2012-04-01 00:00:00

pages

1504-7

issue

8

eissn

0366-6999

issn

2542-5641

journal_volume

125

pub_type

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