The presentation and management of vascular rings: An otolaryngology perspective

Shah, Rahul K.; Mora, Bassem N.; Bacha, Emile A.; Sena, Laureen; Buonomo, Carlo; Nido, Pedro J. del; Rahbar, Reza

doi:10.1016/j.ijporl.2006.08.025

Cited by 83 publications

(64 citation statements)

References 11 publications

(25 reference statements)

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“…It has been reported that 25% of the patients with vascular ring presented with dysphagia, being the 6 th most common symptoms following stridor, persistent cough, chronic dyspnoea, reflux apnoea and recurrent respiratory tract infection in the patient setting [43]. Surgical management may include open and thoracoscopic approaches [92]. Infants with dysphasia of an aetiology of vascular ring compression can have their symptoms improved by video-assisted division of vascular ring [60].…”

Section: Discussionmentioning

confidence: 99%

Cardiovascular dysphagia — anatomical and clinical implications

Yuan

2014

Folia Morphol

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Section: Discussionmentioning

confidence: 99%

Cardiovascular dysphagia — anatomical and clinical implications

Yuan

2014

Folia Morphol

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“…Other cardiovascular anomalies have been found in up to 63% of cases 1 2. Vascular rings are often associated with tracheal anomalies.…”

Section: Discussionmentioning

confidence: 99%

“…Oesophageal symptoms included dysphagia (27%), reflux (6%), choking (3%) and failure to thrive (3%). Although presentation with stridor and respiratory infections appears similar for double aortic arch and right aortic arch with ligamentum, children with the latter seem to present more often with cough and dysphagia (33% and 37%, respectively) 2. Symptom duration is often overlooked and a high index of suspicion is required for diagnosis.…”

Section: Discussionmentioning

confidence: 99%

Vascular ring diagnosis following respiratory arrest

et al. 2014

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Vascular rings can present with non-specific respiratory and/or oesophageal symptoms. Early diagnosis requires a high index of suspicion. This case report describes an uncommon acute presentation of a vascular ring. We report a thriving 14-month-old child with a long history of recurrent wheeze and ‘noisy breathing’. He presented acutely with food bolus impaction in the oesophagus which led to a respiratory arrest. Oesophagoscopy and bronchoscopy suggested vascular ring anomaly. A contrast-enhanced CT scan demonstrated a right-sided aortic arch with left ligamentum arteriosum encircling the oesophagus and airway. The ligament was ligated and divided. At follow-up 6 months later, the infant had mild persistent stridor but was otherwise well.

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“…The presentation usually is with airway or feeding diffi culties [ 299 ]. The most common anatomic causes of a vascular ring are double Ao arch (50-60 %) Fig.…”

Section: Vascular Ring Divisionmentioning

confidence: 99%