Prenatal Diagnosis and Outcome of Isolated Vascular Rings

Tuo, Giulia; Volpe, P.; Bava, G. L.; Bondanza, Sara; Robertis, V. De; Pongiglione, Giacomo; Marasini, Maurizio

doi:10.1016/j.amjcard.2008.09.100

Cited by 53 publications

(47 citation statements)

References 21 publications

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“…However, these structures are currently often diagnosed in the prenatal period and are asymptomatic in both the neonatal period and later years. [3][4][5][6] The most frequent VR are the double aortic arch (DAA) and the right arch with aberrant left subclavian artery (ALSA). In the DAA, the left and right aortic arches themselves compress the airway and esophagus.…”

Section: Introductionmentioning

confidence: 99%

Multidetector Computed Tomography for Congenital Anomalies of the Aortic Arch: Vascular Rings

Garcı́a-Guereta

García-Cerro

Bret-Zurita

2016

Revista Española de Cardiología (English Edition)

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Section: Introductionmentioning

confidence: 99%

Multidetector Computed Tomography for Congenital Anomalies of the Aortic Arch: Vascular Rings

Garcı́a-Guereta

García-Cerro

Bret-Zurita

2016

Revista Española de Cardiología (English Edition)

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“…Another two had mild symptoms, which improved. Computed tomographic angiography and barium swallow at 2 and 5 years of age showed no significant obstruction Galindo (2009) 11 Turan (2009) 12 Hsu (2011) 32 Li (2011) 31 Bronshtein (2011) 30 Gul (2012) 29 Miranda (2014) 28 Razon (2014) 24 Chaoui (2002) 25 Achiron (2002) 2 Patel (2006) 10 Berg (2006) 8 Zidere (2006) 7 Tuo (2009) 9 Galindo (2009) 11 Turan (2009) 12 Hsu (2011) 32 Bronshtein (2011) 30 Gul (2012) 29 Miranda (2014) 28 Razon (2014) 24 Current study Galindo (2009) 11 Turan (2009) 12 Hsu (2011) 32 Li (2011) 31 Bronshtein (2011) 30 Bronshtein (1998) 6 Gul (2012) 29 Miranda (2014) 28 Achiron (2002) 2 Patel (2006) 10 Berg (2006) 8 Zidere (2006) 7 Tuo (2009) 9 Galindo (2009) 11 Turan (2009) 12 Hsu (2011) 32 Li (2011) 31 Bronshtein (2011) 30 Chaoui (2002) 25 Gul (2012) …”

Section: Cohort Studymentioning

confidence: 99%

Fetuses with right aortic arch: a multicenter cohort study and meta‐analysis

D’Antonio

Khalil

Zidere

et al. 2016

Ultrasound in Obstet & Gyne

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“…Tuo et al [15] reported that a neonate with severe congenital tracheal stenosis with double aortic arch required tracheoplasty. The severity of persistent respiratory symptoms should be evaluated before weaning from mechanical ventilation [6].…”

Section: Discussionmentioning

confidence: 98%

Airway management in an infant with double aortic arch

et al. 2010

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A 2-month old male was admitted due to repeated cyanotic attacks. He had suffered from stridor and retractive breathing since birth. Double aortic arch was diagnosed and the vascular ring formed by the double aortic arch was compressing the trachea. Multirow detector computed tomography showed that he had a right-dominant double aortic arch with left ductus arteriosus and an aberrant left subclavian artery, and that the narrowest part of the trachea, where the diameter was 2.0 mm, was located 9.0 mm above the carina. Airway management in patients with extreme narrowing of the trachea is challenging for anesthesiologists. He was scheduled for ligation and division of the left aortic arch and ductus arteriosus. In the operating theater, anesthesia was slowly induced with sevoflurane (0-4%) in oxygen. After mask ventilation was confirmed to be adequate, a 4.0 mm internal diameter endotracheal tube (ETT) was inserted and advanced smoothly beyond the tracheal stenosis. The tip of the ETT was placed just above the carina using a fiber optic bronchoscope (fiberscope) that was passed through the ETT. Since mechanical ventilation was adequate, vecuronium was administered. Surgery was conducted in the right lateral position and using a left thoracotomy approach. Anesthesia was maintained with sevoflurane (2-3%). After positioning, right one-lung ventilation was performed unexpectedly. However, anesthetic management was achieved without difficult ventilation during surgery. The tip of the ETT was pulled past the stenotic part before transfer to the intensive care unit (ICU). A patent trachea during spontaneous breathing under CPAP (5 and 2 cmH(2)O) was confirmed with a bronchofiberscope in the ICU. After weaning from mechanical ventilation, he had the persistence of mild stridor despite improvement of respiratory symptoms.

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Prenatal Diagnosis and Outcome of Isolated Vascular Rings

Cited by 53 publications

References 21 publications

Multidetector Computed Tomography for Congenital Anomalies of the Aortic Arch: Vascular Rings

Multidetector Computed Tomography for Congenital Anomalies of the Aortic Arch: Vascular Rings

Fetuses with right aortic arch: a multicenter cohort study and meta‐analysis

Airway management in an infant with double aortic arch

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