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- W3028783864 abstract "Objective This study aimed to summarize the method of diagnosis and surgical treatment for congenital vascular ring in infants.Methods A retrospective analysis of clinical data of 16 cases (male =11; female =5) with congenital vascular rings from March 2008 to July 2011were conducted.Patients’ agesranged from 4 months to 3.2 years old (mean 2.2 years 1.7).Preoperative 64 slice CT chest with three-dimensional reconstruction of the great vessels and trachea were performed,The diagnosis included double aortic arch in 3 cases; right aortic arch with left ligament and aberrant left subclavian artery in 7 cases; right aortic arch with aberrant left innominate artery in 1 case,left aortic arch with aberrant right subclavian artery in 2 cases; pulmonary artery sling in 3 cases.Clinical manifestations of childrenincluded recurrent respiratory tract infection,chronic cough,wheezing,respiratory distress,dysphagia,and vomiting.13 patients underwent surgical repair; 3 cases of pulmonary artery sling had surgery under cardiopulmonary bypass; while the others had off-pump surgery,including l case of aortopexy surgery.Results No operative mortality was seen in any patient.Postoperative complication included 1 case of chylothorax and 1 case of left vocal cord palsy.The mean follow-up period was 6 months.Gastrointestinal symptoms disappeared 2 weeks after the operation.6 patients still had wheezing,recurrent respiratory tract infection 3 months after the operation.By 6 months,2 patients had wheezing,and chronic cough.Only 1 patient still had wheezel year after operation.Significant reduction of seizure frequency was obtained comparing with the previous status and normal growth and development were achieved.Conclusions In infants and young children with recurrent pneumonia,breathing difficulties unexplained wheezing,dysphagia,the possibility of vascular ring should be borne in mind.Early detection,and surgical treatment should be offered.Key words: Vascular ring,congenital; Arch of the aorta; Infants" @default.
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- W3028783864 date "2012-08-15" @default.
- W3028783864 modified "2023-09-22" @default.
- W3028783864 title "Early diagnosis and treatment of vascular ring in infants" @default.
- W3028783864 doi "https://doi.org/10.3760/cma.j.issn.0253-3006.2012.08.005" @default.
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