Reoperation after Vascular Ring Repair

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

“…[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. [32][33][34] The approach to asymptomatic patients is controversial because the condition is usually diagnosed during pregnancy and affected individuals can remain asymptomatic in the longterm.…”

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

“…Our group is very homogenous, excluding patients with associated syndromes or cardiopathies, thus avoiding confounding factors influencing the long‐term outcome. Very few studies reported on a larger patient population, and none of them had long‐term outcome data of a mixed group of surgery and conservative treatment …”

“…Other series did not report specific symptoms in the late ( ≥ 2 years) postoperative period, although some only reported on mortality or need for repeat surgery as follow-up parameters. 2,4,8,12,13,15,17 We believe that there is a need for prospective follow-up studies to better document the prognosis of patients with vascular rings, since this is essential in the decisionmaking especially if little or no symptoms are present at diagnosis.…”

“…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 …”

“…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, 1,6,8,9,[12][13][14][15][16][17][18] illustrating the need for longerterm follow-up. 19 In addition, little is known about the evolution in patients with minimal symptoms, especially about those that are not treated surgically.…”