Though vascular rings are a rarity, it is important to have a good understanding about the condition, investigations required and treatment modalities. 2 Assistant Professor of Surgery, Faculty of. Surgical treatment should be considered when the patient develops symptoms that are related to tracheal or esophageal obstruction. Surgery to divide the vascular ring is indicated in all symptomatic cases. Associate Professor of Heart Surgery, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran. Post-operatively, there was a complete resolution of stridor, with no short-term complications. Children with double aortic arch defects show up earlier than those with.
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Following full pre-operative assessment and imaging, the child underwent a left sided thoracotomy to divide the vascular ring. We report a child who presented with persistent respiratory tract infections since birth, and was found to have a tight vascular ring causing tracheal stenosis on computed tomographic imaging during investigation by Otorhinolaryngology for laryngomalacia. Delays in surgical resection can result in patients presenting later in life with tracheomalacia or worsening respiratory or esophageal symptoms. Comprehensive pre-operative imaging is a necessity for good surgical outcome and majority of patients report near-complete or complete cessation of symptoms post-operatively.
Most vascular rings are surgically correctable, and can result in improved quality of life for the infant. Vascular rings may be isolated or be associated with other congenital heart conditions. If a vascular ring presses against the trachea and esophagus, it can lead to breathing and digestive problems. Sometimes symptoms aren't noticed until later in life. Symptoms Some people with a vascular ring don't have symptoms. Vascular rings are an uncommon, but important, set of conditions to explore in infants suffering from recurrent respiratory or esophageal symptoms, especially those who present within six months of age. Surgery is usually needed to treat a vascular ring.
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*Correspondance to: Mrinmayee D, Fulltext PDF Abstract Ann Clin Surg | Volume 2, Issue 2 | Case Report | Open Access A Case of Double Aortic Archĭepartment of Cardiothoracic Surgery, Charlotte Maxeke Johannesburg Academic Hospital, South Africa The aorta starts normally at the heart as one large vessel, but then divides into two arches: one on each side of the trachea and esophagus.
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