Importance of Acute Anterior Angulation in Double Aortic Arch Needing Attention at Primary Surgery.
division of double aortic arch
double aortic arch
tracheal compression
tracheooesophageal symptoms
vascular ring
Journal
Frontiers in cardiovascular medicine
ISSN: 2297-055X
Titre abrégé: Front Cardiovasc Med
Pays: Switzerland
ID NLM: 101653388
Informations de publication
Date de publication:
2021
2021
Historique:
received:
18
08
2021
accepted:
29
11
2021
entrez:
10
2
2022
pubmed:
11
2
2022
medline:
11
2
2022
Statut:
epublish
Résumé
Vascular rings are rare congenital abnormalities of the aortic arch. There are many embryological variants including a double aortic arch. In symptomatic children, division of ring and release of airway structures may be sufficient. Persistence of symptoms can be related to an anterior angle formed between the two arches. The aim of this study is to evaluate the clinical efficacy in improving symptoms and on changing this angle at the primary surgery. All children who had surgery for double aortic arch between 2005 and 2020, were studied. Relevant factors were analyzed for persistent symptoms including anatomical substrates and surgical details. A total of 87 out of 224 children had surgery for a double aortic arch. At presentation, airway symptoms ( Anterior arch angulation plays an important role in double aortic arch by causing a "nutcracker" phenomenon. Repair in double aortic arch should consider this aspect and include modification of surgical steps by realigning the corresponding aortic arch branches and an anterior pexy in selected cases.
Sections du résumé
BACKGROUND
BACKGROUND
Vascular rings are rare congenital abnormalities of the aortic arch. There are many embryological variants including a double aortic arch. In symptomatic children, division of ring and release of airway structures may be sufficient. Persistence of symptoms can be related to an anterior angle formed between the two arches. The aim of this study is to evaluate the clinical efficacy in improving symptoms and on changing this angle at the primary surgery.
METHODS
METHODS
All children who had surgery for double aortic arch between 2005 and 2020, were studied. Relevant factors were analyzed for persistent symptoms including anatomical substrates and surgical details.
RESULTS
RESULTS
A total of 87 out of 224 children had surgery for a double aortic arch. At presentation, airway symptoms (
CONCLUSION
CONCLUSIONS
Anterior arch angulation plays an important role in double aortic arch by causing a "nutcracker" phenomenon. Repair in double aortic arch should consider this aspect and include modification of surgical steps by realigning the corresponding aortic arch branches and an anterior pexy in selected cases.
Identifiants
pubmed: 35141288
doi: 10.3389/fcvm.2021.760523
pmc: PMC8818705
doi:
Types de publication
Journal Article
Langues
eng
Pagination
760523Informations de copyright
Copyright © 2022 Beeman, Ramaswamy, Srinivasan, Rudrappa, Christov, Marek, Derrick and Muthialu.
Déclaration de conflit d'intérêts
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
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