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Chin Med J (Engl). 2012 Apr;125(8):1504-7.

Surgical treatment for vascular anomalies and tracheoesophageal compression.

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1
Cardiac Centre, Beijing Children's Hospital Affiliated to Capital Medical University, Beijing 100045, China.

Abstract

BACKGROUND:

Vascular rings are uncommon anomalies in which preferred strategies for diagnosis and management may vary among institutions. In this study, we reported our approach and a review of our 5-year experience.

METHODS:

From May 2006 to April 2011, 45 children (31 boys) with vascular rings underwent surgical repair at Beijing Children's Hospital. Nineteen patients (26%) had associated heart anomalies.

RESULTS:

There were two hospital deaths. At follow-up, 11 patients still had intermittent respiratory symptoms, but these symptoms had no effect on growth or physical activities. No patients required reoperation.

CONCLUSIONS:

The rates of misdiagnosis and missed diagnosis of vascular rings are higher than those of other congenital heart diseases. A high index of clinical suspicion coupled with the use of computed tomography enables early diagnosis. Surgical repair can be performed successfully, although a number of patients will have persistent symptoms.

PMID:
22613660
[Indexed for MEDLINE]
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