Retroesophageal aortic arch: diagnostic and therapeutic implications of a rare vascular ring

Philip, Saji; Chen, Shyh-Jye; Wu, Mei‐Hwan; Wang, Jou‐Kou; Lue, Hung-Chi

doi:10.1016/s0167-5273(01)00402-8

Cited by 21 publications

(17 citation statements)

References 14 publications

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“…There is 50% to 60% prevalence for additional cardiac anomalies. 20,21 Chest radiography and echocardiography have shown poor sensitivity for this diagnosis, whereas MR imaging can accurately define the aortic arch anatomy for surgical planning. 20 …”

Section: Circumflex Aortic Archmentioning

confidence: 99%

Rings and Slings Revisited

Smith

Dorfman

et al. 2015

Magnetic Resonance Imaging Clinics of North America

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Section: Circumflex Aortic Archmentioning

confidence: 99%

Rings and Slings Revisited

Smith

Dorfman

et al. 2015

Magnetic Resonance Imaging Clinics of North America

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“…An extensive review of the literature yields a total of 58 asymptomatic or unrepaired vascular rings documented over the course of 18 studies, including the current study [4,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22]. Table 1 summarizes the characteristics of the individual cases while Table 2 summarizes the overall characteristics of the cohort.…”

Section: Discussionmentioning

confidence: 99%

Natural History of Asymptomatic and Unrepaired Vascular Rings: Is Watchful Waiting a Viable Option? A New Case and Review of Previously Reported Cases

Loomba

2016

Children

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Vascular rings are a rare form of congenital heart disease in which abnormal aortic arch anatomy leads to encircling of the esophagus and/or trachea by the aortic vasculature. Symptoms can develop from this and prompt the need for surgery. A natural history study has been done on mildly symptomatic patients but no such study has been done on asymptomatic patients. We present a case report of three children with asymptomatic vascular rings who continue to receive follow-up without intervention and review all published cases of asymptomatic or unrepaired vascular rings. Clinical observation of asymptomatic and mildly symptomatic vascular rings, regardless of aortic arch anatomy, seems to be a safe approach. Children with mild symptoms almost invariably seem to have resolution of their symptoms by four years of age.

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“…Congenital heart diseases have several morphological abnormalities [1][2][3][4][5][6][7][8][9][10][11]and it is very important to recognize the spatial relationship of abnormal structures accurately before deciding on a surgical strategy [12][13][14][15][16][17]. Conventional angiogram has been considered a gold standard to evaluate the abnormal structures but the images are two-dimensional and sometimes it is difficult to recognize the complex spatial relationship of abnormalities three-dimensionally.…”

Section: Discussionmentioning

confidence: 99%