Clinical analysis of surgical correction for congenital vascular ring in children in a single center
10.7507/1007-4848.202007084
- VernacularTitle:小儿血管环外科治疗的单中心临床分析
- Author:
Manchen GAO
1
;
Shuo DONG
1
;
Yabing DUAN
1
;
Yangxue SUN
1
;
Jiachen LI
1
;
Ju WANG
1
;
Qiang WANG
1
;
Shoujun LI
1
;
Zhongdong HUA
1
;
Jun YAN
1
Author Information
1. Department of Pediatric Cardiac Surgical Center, Fuwai Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing, 100037, P.R.China
- Publication Type:Journal Article
- Keywords:
Vascular ring;
double aortic arch;
right aortic arch;
aberrant subclavian artery
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2021;28(10):1242-1247
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the best anatomical classification, surgical timing, procedure and clinical outcomes of congenital vascular ring. Methods The clinical data of 58 patients who underwent congenital vascular ring surgery in Pediatric Surgery Center, Fuwai Hospital between 2014 and 2019 were retrospectively analyzed. There were 32 (55.2%) males and 26 (44.8%) females with a median age of 16.5 (2-73) months. Preoperative symptoms, imaging examinations, anatomical classifications, surgical procedures and postoperative recovery were assessed. Results There were 20 (34.5%) patients of double aortic arch, 22 (37.9%) patients of right aortic arch with left arterial duct or ligament, 15 (25.9%) patients of left aortic arch with aberrant right subclavian artery, and 1 (1.7%) patient of circumflex aorta with cervical aorta arch. The median ventilator supporting time was 6.0 (0-648) h, and the median hospital stay time was 14.5 (7-104) d. One patient with coarctation of aorta died of severe pulmonary infection during perioperative period, and the others survived without symptoms and reoperation after discharge. The median follow-up time was 7.0 (1-62) months. Conclusion For children with unexplained dyspnea and dysphagia, or with right aortic arch, preoperative imaging examinations such as computed tomography or magnetic resonance imaging are required to confirm the diagnosis of vascular ring. Surgical correction of congenital vascular ring is safe and reliable, and can effectively relieve symptoms. The mortality rate and reoperation rate are low, and the follow-up results are satisfactory.
