Right aortic arch with mirror image branching and vascular ring

Higashikuni, Yasutomi; Nagashima, Tamon; Ishizaka, Nobukazu; Kinugawa, Koichiro; Hirata, Yasunobu; Nagai, Ryozo

doi:10.1016/j.ijcard.2007.06.150

Cited by 8 publications

(9 citation statements)

References 6 publications

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“…If the left distal aortic arch, distal to origin of the left subclavian artery, disappears, a mirror image banching is developed as a result [3]. Complete vascular rings, caused by the right aortic arch with mirror image branching, are extremely rare [4].…”

Section: Discussionmentioning

confidence: 99%

Complete Vascular Ring Caused by Kommerell's Diverticulum and Right Aortic Arch with Mirror Image Branching

Ryu

2012

Korean J Thorac Cardiovasc Surg

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Vascular ring, caused by Kommerell's diverticulum and ligamentum arteriosum, in a patient with right aortic arch and mirror image branching is extremely rare. A 10-month-old boy with coughing and stridor was diagnosed as having tracheo-esophageal stenosis, which is caused by a vascular ring with Kommerell's diverticulum, ligamentum arteriosum, right aortic arch, and mirror image branching. Kommerell's diverticulum was successfully resected via a left thoracotomy. The patient has been free from tracheo-esophageal stenosis for a year after the surgery.

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Section: Discussionmentioning

confidence: 99%

Complete Vascular Ring Caused by Kommerell's Diverticulum and Right Aortic Arch with Mirror Image Branching

Ryu

2012

Korean J Thorac Cardiovasc Surg

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“…The vascular rings were classified in three categories based on the type of the ring: group 1 double aortic arch (DAA), group 2 right aortic arch with a left ligamentum arteriosum (RAA), group 3 right aortic arch with retroesophageal aberrant left subclavian artery (ALSA) or a right aortic arch variation with mirror‐image branching, and a ligamentum arteriosum arising from the descending aorta on the right side and with a retroesophageal course to the left pulmonary artery (MB) …”

Section: Methodsmentioning

confidence: 99%

“…A minimum of 2 years of follow-up after surgery/diagnosis (if no surgery) was an additional inclusion criterion. Exclusion criteria were associated syndromic or genetic abnormalities (eg, 22q11 deletion, trisomy 21) and associated cardiac anomalies. 20 The vascular rings were classified in three categories based on the type of the ring: group 1 double aortic arch (DAA), group 2 right aortic arch with a left ligamentum arteriosum (RAA), group 3 right aortic arch with retroesophageal aberrant left subclavian artery (ALSA) or a right aortic arch variation with mirror-image branching, and a ligamentum arteriosum arising from the descending aorta on the right side and with a retroesophageal course to the left pulmonary artery (MB).…”

Section: Methodsmentioning

confidence: 99%

“…20 The vascular rings were classified in three categories based on the type of the ring: group 1 double aortic arch (DAA), group 2 right aortic arch with a left ligamentum arteriosum (RAA), group 3 right aortic arch with retroesophageal aberrant left subclavian artery (ALSA) or a right aortic arch variation with mirror-image branching, and a ligamentum arteriosum arising from the descending aorta on the right side and with a retroesophageal course to the left pulmonary artery (MB). 1,3,7,8,21 In PART A, we reviewed patients' medical records regarding In 25/51 patients a DAA (group 1) was diagnosed and 26/51 patients had a RAA-based vascular ring (group 2 and 3). In 22/26 patients this was accompanied by an ALSA (group 2).…”

Section: Methodsmentioning

confidence: 99%

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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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“…If the distal portion of the left aortic arch, adjacent to the descending aorta, disappears, the subsequent developmental process results in a mirror image of the normal process. [7]…”

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confidence: 99%