Abstract
Since the mid-1940s, the phrase “vascular ring” has referred to congenital vascular anomalies of the aortic arch system that encircle and compress the esophagus and trachea causing various symptoms. The concept of vascular sling was described five decades later. The diagnosis of vascular ring or pulmonary artery sling should be suspected in any infant or child presenting with symptoms of respiratory distress, noisy breathing, or dysphagia. Suspicion of the diagnosis is often generated by the plain chest x-ray. However, the diagnosis is best established by CT imaging which accurately delineates the anatomy of the vascular ring and the associated tracheal pathology. All patients diagnosed with a vascular ring should have an echocardiogram because of the incidence of associated congenital heart disease. Bronchoscopy should be performed in all cases to assess for additional tracheal pathology and to provide a clinical assessment of the degree of tracheomalacia and bronchomalacia. This chapter aims to overview the embryology, the anatomy and pathophysiology, the clinical presentation and diagnosis, and the management of the entities included in the spectrum of vascular rings and slings.
| Original language | English (US) |
|---|---|
| Title of host publication | Pediatric and Congenital Cardiology, Cardiac Surgery and Intensive Care |
| Publisher | Springer Verlag London Ltd |
| Pages | 2219-2238 |
| Number of pages | 20 |
| ISBN (Electronic) | 9781447146193 |
| ISBN (Print) | 9781447146186 |
| DOIs | |
| State | Published - Jan 1 2014 |
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Keywords
- Aberrant right subclavian artery
- Anomalies
- Aortic arch syndrome
- Complete tracheal rings
- Congenital
- Double aortic arch
- Esophageal stenosis
- Innominate artery compression syndrome
- Pulmonary artery
- Pulmonary artery sling
- Right aortic arch
- Tracheal stenosis
- Vascular malformations
ASJC Scopus subject areas
- Medicine(all)
Cite this
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Vascular rings and slings. / Backer, Carl L.; Popescu, Andrada R.; Rastatter, Jeffrey C.; Russell, Hyde M.
Pediatric and Congenital Cardiology, Cardiac Surgery and Intensive Care. Springer Verlag London Ltd, 2014. p. 2219-2238.Research output: Chapter in Book/Report/Conference proceeding › Chapter
TY - CHAP
T1 - Vascular rings and slings
AU - Backer, Carl L.
AU - Popescu, Andrada R.
AU - Rastatter, Jeffrey C.
AU - Russell, Hyde M.
PY - 2014/1/1
Y1 - 2014/1/1
N2 - Since the mid-1940s, the phrase “vascular ring” has referred to congenital vascular anomalies of the aortic arch system that encircle and compress the esophagus and trachea causing various symptoms. The concept of vascular sling was described five decades later. The diagnosis of vascular ring or pulmonary artery sling should be suspected in any infant or child presenting with symptoms of respiratory distress, noisy breathing, or dysphagia. Suspicion of the diagnosis is often generated by the plain chest x-ray. However, the diagnosis is best established by CT imaging which accurately delineates the anatomy of the vascular ring and the associated tracheal pathology. All patients diagnosed with a vascular ring should have an echocardiogram because of the incidence of associated congenital heart disease. Bronchoscopy should be performed in all cases to assess for additional tracheal pathology and to provide a clinical assessment of the degree of tracheomalacia and bronchomalacia. This chapter aims to overview the embryology, the anatomy and pathophysiology, the clinical presentation and diagnosis, and the management of the entities included in the spectrum of vascular rings and slings.
AB - Since the mid-1940s, the phrase “vascular ring” has referred to congenital vascular anomalies of the aortic arch system that encircle and compress the esophagus and trachea causing various symptoms. The concept of vascular sling was described five decades later. The diagnosis of vascular ring or pulmonary artery sling should be suspected in any infant or child presenting with symptoms of respiratory distress, noisy breathing, or dysphagia. Suspicion of the diagnosis is often generated by the plain chest x-ray. However, the diagnosis is best established by CT imaging which accurately delineates the anatomy of the vascular ring and the associated tracheal pathology. All patients diagnosed with a vascular ring should have an echocardiogram because of the incidence of associated congenital heart disease. Bronchoscopy should be performed in all cases to assess for additional tracheal pathology and to provide a clinical assessment of the degree of tracheomalacia and bronchomalacia. This chapter aims to overview the embryology, the anatomy and pathophysiology, the clinical presentation and diagnosis, and the management of the entities included in the spectrum of vascular rings and slings.
KW - Aberrant right subclavian artery
KW - Anomalies
KW - Aortic arch syndrome
KW - Complete tracheal rings
KW - Congenital
KW - Double aortic arch
KW - Esophageal stenosis
KW - Innominate artery compression syndrome
KW - Pulmonary artery
KW - Pulmonary artery sling
KW - Right aortic arch
KW - Tracheal stenosis
KW - Vascular malformations
UR - http://www.scopus.com/inward/record.url?scp=84961311313&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84961311313&partnerID=8YFLogxK
U2 - 10.1007/978-1-4471-4619-3_236
DO - 10.1007/978-1-4471-4619-3_236
M3 - Chapter
SN - 9781447146186
SP - 2219
EP - 2238
BT - Pediatric and Congenital Cardiology, Cardiac Surgery and Intensive Care
PB - Springer Verlag London Ltd
ER -