Anillos vasculares y compresión traqueo-esofágica: 15 años de experiencia quirúrgica

Pérez, Raúl Sánchez; Lois, Juvenal Rey; López, Luz Polo; Peinado, Ángel Aroca; Rocafort, Álvaro González; González, Ricardo; Bronte, L. Deiros; Zurita, Montserrat Bret; Silva, Luis García-Guereta; Sebastián, Jesús; Blanco, F. Villagrá

doi:10.1016/j.circv.2015.11.004

Cited by 3 publications

(14 citation statements)

References 22 publications

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“…In our experience, 15,27,31,36,39,64,69 low-dose MDCT with multiplanar and 3-dimenstional volumetric reconstructions is the most complete technique for the study of VR. In symptomatic patients, it aids in surgical planning and can even predict the need for further tracheal surgery, which would require a multidisciplinary surgical approach.…”

Section: Final Considerationsmentioning

confidence: 97%

“…38 As well as ligament division, the diverticulum can be resected and aortopexy of the aortic arch can be performed to avoid reoperations. [36][37][38][39] Some authors 40,41 now recommend systematic diverticulum division and resection of the left subclavian artery and its reanastomosis to the left carotid artery because some patients in their series required reoperation due to KD dilatation. 42 Histological study after primary diverticulum resection can indicate cystic medial necrosis in up to 50% of patients, even in very young children, 41 a finding possibly related to later dilatation of the diverticulum, as described in adults.…”

Section: Right Aortic Archmentioning

confidence: 99%

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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: Final Considerationsmentioning

confidence: 97%

Section: Right Aortic Archmentioning

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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“…Los AV corresponden cerca del 1% de todas las cardiopatías congénitas 4 . Anatómicamente se pueden dividir en: doble arco aórtico (DAA), arco derecho-ligamento ductal izquierdo, compresión de la arteria innominada y sling de la arteria pulmonar, siendo el primero el más frecuente 4,5 .…”

Section: Introductionunclassified

“…El DAA es una malformación cardiovascular infrecuente, que se define como la persistencia de ambos arcos aórticos, derecho e izquierdo, después del nacimiento, siendo dominante el arco derecho en el 70%-73% de los casos 1,5,6 .…”

Section: Introductionunclassified

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Anillo vascular completo por doble arco aórtico simétrico, una malformación cardiovascular infrecuente

et al. 2019

Rev. cir.

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Complete vascular ring by double symmetrical aortic arch, an infrequent cardiovascular malformation Introduction: The double aortic arch (DAA) is an uncommon cardiovascular malformation, characterized by the persistence of both aortic arches after birth. It can be presented with right dominant branch (70-73%), left or symmetrical. It's anatomical shape produces compression of mediastinal structures such as the trachea and esophagus. Clinic case: Infant man 3 months old, with a history of stridor since birth. He was admitted to our center due to severe pneumonia with the need for prolonged mechanical ventilation. Evaluated by otorhinolaryngology, who performed airway revision observing stenosis in the last 5 tracheal rings with dynamic trachea collapse. Chest computed tomography showed complete DAA with emergence of supraaortic trunks of both arches symmetrically. Surgical treatment was decided as soon as possible. It was approached by left anterolateral thoracotomy, vascular control and left aortic arch section distal to subclavian emergency was performed, with aortic and left subclavian artery plasty, aortic arch was released to perform pexia and dissection of fibrotic tissue surrounding the trachea and esophagus. Patient evolved favorably, with resolution of respiratory symptoms and absence of stridor. Postoperative fiberoptic bronchoscopy did not observe tracheal compression. He was discharged on the 14th postoperative day. Currently at six months of follow-up, he is asymptomatic respiratory and cardiovascular. Discussion: AAD can affect 0.03% of the pediatric population. It is usually symptomatic with obstructive manifestations such as stridor or dysphagia due to compression of mediastinal structures, which requires high clinical suspicion for its imaging confirmation and subsequent surgical treatment.

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Sling de la arteria pulmonar en paciente preescolar con compromiso de la vía aérea

Monroy-Cárdenas¹,

Hernández‐Sarmiento²,

Barón-Puentes³

2019

BMHIM

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Introducción: El sling de la arteria pulmonar izquierda es una rara malformación congénita del arco aórtico en la que la rama pulmonar izquierda se origina a partir de la arteria pulmonar derecha. Generalmente se sitúa entre la tráquea y el esófago, que frecuentemente la comprimen. Dependiendo del grado de compromiso de la vía aérea, el esófago y las anomalías cardíacas asociadas, las manifestaciones clínicas varían. El tratamiento de esta malformación es quirúrgico; con el paso de los años, este abordaje ha mejorado, y se ha logrado una disminución de la morbilidad y mortalidad en esta condición. Caso clínico: Se presenta el caso de una paciente preescolar con hallazgo de sling de la arteria pulmonar izquierda con compromiso de la vía aérea. Conclusiones: Después de la corrección quirúrgica, se logró una respuesta clínica favorable y una mejoría significativa en la vía aérea, evidenciada en los hallazgos en la fibrobroncoscopia, sin necesidad de intervenciones adicionales.

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Anillos vasculares y compresión traqueo-esofágica: 15 años de experiencia quirúrgica

Cited by 3 publications

References 22 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

Anillo vascular completo por doble arco aórtico simétrico, una malformación cardiovascular infrecuente

Sling de la arteria pulmonar en paciente preescolar con compromiso de la vía aérea

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