Document Detail

The embryology and management of vascular rings.
MedLine Citation:
PMID:  781849     Owner:  NLM     Status:  MEDLINE    
Among 34 patients with vascular rings, symptoms of tracheal and esophageal compression or both occurred during the first six months of life in 24 (71%). Diagnosis was made in all cases on either plain x-ray film or esophagogram, and was confirmed by operation or angiogram. Associated defects were numerous, with ventricular septal defect (5) and Down's syndrome (3) most common. Operative intervention was required in 18 cases (53%), including 12 of the 14 double arches. Only one of the ten patients with symptomatic recurrent subclavian artery underwent operation. Fourteen of the 18 patients operated upon had early total relief of symptoms, and 17 had excellent late results. A simple system for describing the embryology of vascular rings is presented, and the embryologic relationship between vascular rings and interrupted aortic arches is described. Because of frequent delay in recognition of vascular rings and other surgically correctable lesions, the work-up of every child with two or more episodes of pneumonia should include barium swallow.
W H Fleming; C E Umstott; P N Symbas; K A Mansour; C R Hatcher
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Southern medical journal     Volume:  69     ISSN:  0038-4348     ISO Abbreviation:  South. Med. J.     Publication Date:  1976 Jul 
Date Detail:
Created Date:  1976-09-25     Completed Date:  1976-09-25     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0404522     Medline TA:  South Med J     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  878-80     Citation Subset:  AIM; IM    
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MeSH Terms
Aorta, Thoracic / abnormalities*,  embryology*,  surgery
Brachiocephalic Trunk / embryology
Child, Preschool
Infant, Newborn
Subclavian Artery / embryology

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