Assessment of Surgical Correction at Vascular Ring Anomalies
Küçük Resim Yok
Tarih
2018
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Aim: in this retrospective study, we present our fifteen years of experience in surgical treatment in vascular rings. Thus, we aimed to determine the factors that causing improved both early and late term complications. Methods: Sixteen patients who underwent surgical treatment with the diagnosis of vascular ring between 2003-2018 were included in this study. Hospital records were analyzed retrospectively. Demographic data of the patients, preoperative symptoms and postoperative outcomes were evaluated. Results: the patients were mean 43.50±38.61 months of age and weighed 26.00±13.81 kg at the time of surgeries. 6 patients (37.5%) were diagnosed with double aortic arch, 7 patients (43.7%) had left arcus aorta associated with right aberrant subclavian artery and 3 patients (18.7%) had right arcus aorta and left ligamentum arteriosum. the most common symptom was cough followed by shortness of breath, difficulty in swallowing, reflux, recurrent pneumonia respectively. One patient had atrial septal defect, another patient had ductus arteriosus and another patient had ventricular septal defect as a coexisting cardiac disorder. As early complications, we observed cylothorax, pneumothorax and need of tracheostomy due to failure of extubation in three cases. Mean follow up time was 7.00±3.57 years. Patients had no complaints except for one case with asthma. However, there was no pressure measured on trachea in that patient. No patients died during hospitalizations or follow-ups. Conclusion: Vascular rings can manifest with various symptoms at different ages and many patients also have co-existing cardiac anomalies. However, once the diagnosis is confirmed, surgical approach is essential and leads to satisfactory, uneventful long-term survival results.
Açıklama
Anahtar Kelimeler
Kalp ve Kalp Damar Sistemi
Kaynak
E Journal of Cardiovascular Medicine
WoS Q Değeri
Scopus Q Değeri
Cilt
6
Sayı
3
