Thoracoscopic division of vascular rings in infants and children

Albassam, A.A.; Mallick, Mohammad Saquib; Alqahtani, Aayed R.; Altokhais, Tariq; Gado, Abdulmonem; Al-Boukai, Ahmed A.; Thalag, Ahmed; Alsaadi, Muslem

doi:10.1016/j.jpedsurg.2007.03.032

Cited by 22 publications

(20 citation statements)

References 10 publications

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“…Human studies on thoracoscopic treatment of VRA demonstrate a similar pattern of resolution and improvement as those reported in dogs, with open surgical treatment resulting in full resolution of regurgitation in 75% of patients and improvement in the remaining 25% in 1 large study . In people, thoracoscopy appears similar to open procedures with a resolution rate of 50–100% and improvement in the remaining cases …”

supporting

confidence: 55%

Thoracoscopy with Concurrent Esophagoscopy for Persistent Right Aortic Arch in 9 Dogs

et al. 2016

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supporting

confidence: 55%

Thoracoscopy with Concurrent Esophagoscopy for Persistent Right Aortic Arch in 9 Dogs

et al. 2016

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“…When these common pediatric signs and symptoms were found in the newborn or young infant chronically or on a recurrent basis, pediatrician should be alerted to the possibility of a vascular ring anomaly. When vascular rings manifests in late childhood or adulthood, dysphagia is often the primary symptom, as it is in patients with a left aortic arch and an aberrant right subclavian artery [16]. Although an aberrant right subclavian artery usually remains asymptomatic, approximately 5% of patients may have symptoms in adult life because of the development of atherosclerotic rigidity, tortuosity, or, occasionally, aneurismal dilatation of the aberrant vessel [17].…”

Section: Discussionmentioning

confidence: 99%

Follow-up of surgical correction of aortic arch anomalies causing tracheoesophageal compression: a 38-year single institution experience

Ruzmetov

Vijay

Rodefeld

et al. 2009

Journal of Pediatric Surgery

107

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“…Data on the long‐term evolution of symptoms with or without surgical treatment are scarce. Many studies on early postoperative outcome report incomplete resolution of symptoms merely related to residual tracheomalacia, illustrating the need for longer‐term follow‐up …”

Section: Introductionmentioning

confidence: 99%

The long‐term outcome of an isolated vascular ring – A single‐center experience

Depypere

Proesmans

Cools

et al. 2019

Pediatric Pulmonology

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Background and Objectives The aim of this study is to document the long‐term outcome of patients with a vascular ring. Methods A single‐center retrospective review of clinical symptoms was conducted in all patients born between 1980 and 2013, diagnosed with a complete vascular ring and at least 2 years of follow‐up. Data were extracted from patient files and clinical symptoms were assessed by questionnaires sent to the parents. Age and diagnostic tools, type of surgery, postoperative complications, and the prevalence of clinical symptoms (stridor at rest, stridor with exercise, cough, exercise intolerance, dysphagia, and frequent respiratory infections) were reviewed. Results Fifty‐one patients were included. The diagnosis was made before the age of 2 in 35/51. Surgery was performed in 41/51 patients with a limited number of reversible complications. The median follow‐up was 8 (IQR 5‐12) years. After 2 years, 21/51 patients were asymptomatic: 2/7 asymptomatic patients at diagnosis became symptomatic and symptoms resolved in 16/44 initially symptomatic patients. Consequently, 30/51 patients still had symptoms after 2 years. Of these, 16 had partial improvement, 5 stable symptoms, and 9 aggravation of symptoms. After 10 years, 26/36 patients were free of complaints. The most frequent long‐term symptom was stridor. Conclusion Surgical treatment of a congenital vascular ring is safe and mostly performed in patients with a double aortic arch. Conservative treatment for patients with little symptoms seems to be justifiable. A considerable number of patients have residual long‐term symptoms after surgical relief of the vascular ring.

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Thoracoscopic division of vascular rings in infants and children

Cited by 22 publications

References 10 publications

Thoracoscopy with Concurrent Esophagoscopy for Persistent Right Aortic Arch in 9 Dogs

Thoracoscopy with Concurrent Esophagoscopy for Persistent Right Aortic Arch in 9 Dogs

Follow-up of surgical correction of aortic arch anomalies causing tracheoesophageal compression: a 38-year single institution experience

The long‐term outcome of an isolated vascular ring – A single‐center experience

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