Natural History of Vascular Ring with Clinical Manifestations

Godtfredsen, John; Wennevold, A; Efsen, F; Lauridsen, P

doi:10.3109/14017437709167818

Cited by 22 publications

(18 citation statements)

References 5 publications

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“…Previous findings have prompted support for a conservative attitude regarding surgery . As reported above, one study showed no increased risk of cardiopulmonary decompensation under defined exercise, hence discouraging operation of asymptomatic patients with ARSCA .…”

Section: Discussionmentioning

confidence: 90%

Association between vascular rings and learning performance: A cross‐sectional study

Chen

Liaw

Hsu

et al. 2017

J of Clinical Ultrasound

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BackgroundChronic tracheal obstruction has been associated with learning deficits; hence, early surgical intervention has been suggested.AimTo evaluate the relationship between learning performance and vascular ring caused by an isolated aberrant right subclavian artery.MethodsParticipants included 1,685 undergraduate students (ie, students of medical informatics and medical/public health students) in Central Taiwan. The diagnostic period was from 2005 to 2010. Vascular ring was diagnosed by two‐dimensional echocardiographic screening and was validated by esophagogram. The reference group (medical students) was associated with higher learning performance, whereas the comparison group (students of medical informatics and public health) was associated with lower learning performance. Multiple logistic regression was used for analysis.ResultsThe prevalence of vascular ring among the reference and comparison groups was 0.48 and 2.03%, respectively. The odds ratio for the vascular ring was 4.90 (95% confidence interval: 1.30–18.40) after adjusting for potential confounders.ConclusionsThis study suggests that vascular ring can impact learning efficiency and advocates for larger dedicated studies. © 2017 The Authors Journal of Clinical Ultrasound Published by Wiley Periodicals, Inc. J Clin Ultrasound 45:556–560, 2017

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Section: Discussionmentioning

confidence: 90%

Association between vascular rings and learning performance: A cross‐sectional study

Chen

Liaw

Hsu

et al. 2017

J of Clinical Ultrasound

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“…Of these patients, six required medical treatment for their symptoms and eventually had complete resolution of their symptoms as did the remaining five patients. No patients remained symptomatic after four years of age and there were no deaths during the reported follow-up period [7]. No such formal natural history evaluation of asymptomatic vascular rings has been published to date.…”

Section: Discussionmentioning

confidence: 99%

“…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%

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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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“…1-7 These vascular rings and slings m a y remain asymtomatic despite the abnormality. 1,3,5,7,10 Since the first successful surgical correction of a vascular ring by Robert E. Gross, a wide anatomical variety had been documented by various authors. 1,2-6 This retrospective report reviews our experience with 15 patients with vascular compression of the trachea and esophagus treated at All India Institute of Medical Sciences, New Delhi.…”

Section: Introductionmentioning

confidence: 99%

Vascular rings and pulmonary artery sling: early and mid-term results of surgical correction

Airan

Govil

et al. 2000

Indian J Thorac Cardiovasc Surg

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Background. The great majority of patients with complete vascular rings and pulmonary artery sling present before their first birthday. This retrospective report summarises the surgical experience of a single institution with the majority of vascular ring group presenting after infancy and having associated congenital cardiac anomalies. Possible reasons of delayed presentation of vascular ring, the asymptomatic left pulmonary artery sling and the individualised surgical management of each subgroup are discussed. Methods : Fifteen consecutive patients, aged 2 months to 9 years (mean-+SD = 41.33+31.55 months) underwent surgical correction of vascular rings and sling during the last 12 years, including one infant. All patients underwent chest roentgenogram, barium esophagogram, two dimensional echocardiogram and cardiac catheterisation. Magnetic resonance imaging was employed in three patients. Four patients with isolated complete vascular ring were symptomatic (group A), one patient with left pulmonary artery sling was asymptomatic (group B) and 10 symptomatic patients with complete vascular rings had associated congenital cardiac anomalies (group C). The operative approach was through a left posterolateral thoracotomy (n=5), a median sternotomy (n=8) and a combination of median sternotomy and left thoracotomy (n=2). Operations of various types were performed.Results. The operative mortality was 6.6% and there was no late death. All survivors are doing well and asymptomatic after a mean follow up period of 66.87 months (range = I month to 143 months). Postoperative barium esophagogram in all survivors revealed no stasis of contrast in the upper esophagus and marked diminution in the degree of esophageal indentations.Conclusions. Accuracy in diagnosis is important to determine the optimal surgical approach.Individualization of surgical management provides gratifying results. Asymptomatic left pulmonary artery sling without associated anomalies may be left untreated. (Ind J Thorac Cardiovasc Surg, 2000; 16: 77-82)

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Natural History of Vascular Ring with Clinical Manifestations

Cited by 22 publications

References 5 publications

Association between vascular rings and learning performance: A cross‐sectional study

Association between vascular rings and learning performance: A cross‐sectional study

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

Vascular rings and pulmonary artery sling: early and mid-term results of surgical correction

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