Vascular rings repair in adults
Main Article Content
Abstract
From March 2017 to January 2018 at the Cho Ray Hospital we have 04 cases of vascular ring, including 01 case of double aortic arch with aneurysm of the right side which about 70mm diameter compressed tracheal and subclavian artery must be surgically removed from the aneurysm, repaid the aortic arch and the right subclavian artery; The remaining 3 cases had acuted dissection with Stanford type B classification which the right of subclavian artery rise from the left side of aortic arch or descending aortic turn back tracheal and esophageal. In those cases, we performed hybrid procedure which included to transpose the right or left subclavian arteries to the right or left common carotid, combined to put a stent graft in aortic arch. No complications after surgery, follow up from 01 to 06 months with successfully rate was 100%. Vascular ring in adults is a rare congenital malformation. The surgical treatment was good results. Hybrid procedure was initially successful with high success rates because which was a little complications, quick recovery and short hospital stay.*
Article Details
Keywords
vascular rings repair in adults
References
2. K. Kanabuchi; et al. Vascular Tracheobronchial Compression Syndrome in Adults: A Review. Tokai J Exp Clin Med., Vol 36, No4, PP. 106-111,2011.
3. Rosemarie E. Hardin, MD, Gregory R. Brevetti, MD; et al. Treatment of Symptomatic Vascular Rings in the Elderly: a case report. Texas Heart Institute Journal, Volume 32, Number 3, 2005.
4. Andreas Greiner, MD, Reinhold Perkmann, MD; et al. Vascular Ring Causing Tracheal Compression in an Adult Patient: a case report. Ann Thorac Surg, 2003;75:1959-1960.
5. Yoon Jung Suh, MD; et al. Clinical Course of Vascular Rings and Risk Factor Associated With Mortality. Korean Circ J. 2012 Apr; 42(4):252-258.
6. Hernanz-Schulman M. Vascular Ring: a practical approach to imaging diagnosis. Pediatr Radiol. 2005;35:961-979.
7. Turner A, Gavel G, Coutts J. Vascular rings: presentation, investigation and outcome. Eur J Pediatr. 2005;164:266-270.
8. Binet JP, Longlois J. Aortic arch anomalies in children and infants. J Thorac Cardiovasc Surg. 1977; 73:248.
9. Gross RE. Surgical relief for tracheal obstruction from a vascular ring. N Engl J Med. 1945; 233:586-590.
10. Kellenberger CJ. Aortic arch malformation. Pediatr Radiol. 2010;40:876-884.
11. Phillip S. Naimo Tyson A. Fricke Julia S. Donald Elie Sawan Yves d'UdekemChristian P. Brizard Igor E. Konstantinov: Long-term outcomes of complete vascular ring division in children: a 36-year experience from a single institution. Interactive CardioVascular and Thoracic Surgery, Volume 24, Issue 2, 1 February 2017, Pages 234–239.
12. François K, Panzer J, De Groote K, Vandekerckhove K, De Wolf D, De Wilde H, Marchau F, De Caluwe W, Benatar A, Bové T: Early and late outcomes after surgical management of congenital vascular rings. Eur J Pediatr. 2017 Mar;176(3):371-377.