Abstract
Congenital vascular rings result from an abnormal development of the arterial component of the branchial arch system, in which its
derivatives form a ring that encircles the trachea and the esophagus. In this review, the term "vascular ring" includes not only complete
vascular rings, such as double aortic arch, but also partial vascular rings, with or without ligaments or fibrous bands, that cause
tracheal or esophageal obstruction, such as left aortic arch with aberrant right subclavian artery and pulmonary artery sling. This
overview aims to the embryology, the anatomy and pathophysiology, the clinical presentation and diagnosis.
References
- Бураковский В.И., Бокерия Л.А. (ред.) Сердечно-сосудистая
хирургия: руководство. М.: Медицина; 1996.
- Беседин С.Н. Аномалии дуги аорты, образующие сосудистое
кольцо: классификация, клиника, диагностика и методы
хирургической коррекции: Дис. ... д-ра мед. наук. М.; 1991.
- Park M.K. Pediatric Cardiology for Practitioners. 5th ed.
Philadelphia, PA: Mosby/Elsevier; 2008.
- Humphrey С. Decade of experience with vascular rings at a
single institution. Pediatrics. 2006; 117 (5): e903-8.
- Moes C.A.F. Vascular rings and anomalies of the aortic arch.
In: Keith J.D., Rowe R.D., Vlad P. (eds.) Heart disease in infancy
and childhood. New York: Macmillan; 1978: 8 5 6 - 8 1 .
- VanSiebold C.T. Ringformiger Aorten-bogen bei einen neugeborenen
Blansuchtigen. J. F. Geburtsh. Frauenzu. Kinderkrankh.
1837; 16: 294.
- Bayford D. An account of a singular case of obstructed deglutition. Mem. Med. Soc. Lond. 1794; 2 : 275-86.
- Kommerell B. Verlagerung des Osophagus durch eine abnorm
verlaufende Arteria subclavia dextra (Arteria lusoria). Fortschr.
Geb. Rontgenstr. 1936; 54: 590-5.
- Gross R. Surgical relief for tracheal obstruction from a vascular
ring. N. Engl. J. Med. 1945; 233: 586-90.
- Glaevecke H., Doehle W. Uber eine selten angeborene
Anomalie der Pulmonalarteren. Munch. Med. Wochenschr.
1897; 44: 950-3.
- Contro S., Miller R., White M., Potts W. Bronchial obstruction
due to pulmonary artery abnormalities. I. Vascular ring.
Circulation. 1958; 17: 418-23.
- Potts W.J., Holinger P.H., Rosenblum A.H. Anomalous left
pulmonary artery causing obstruction to right main bronchus:
report of a case. JAMA. 1954; 155: 1409-11.
- Cohen S.R., Landing B.H. Tracheostenosis and bronchial
abnormalities associated with pulmonary artery sling. Ann.
Otol. Rhinol. Laryngol. 1976; 85: 582-90.
- Hickey M.J., Wood A.E. Pulmonary artery sling with tracheal
stenosis. Ann. Thorac. Surg. 1987; 44: 416-7.
- Rathke H. Bemerkungen uber die Eustelung der bei manchen
Vogeln und den Krokodilen verkommenden game -
inschaftlichen Carotis. Arch. Anat. Physiol.; 1858.
- Satti S.R., Cerniglia C.A., Koenigsberg R.A. Cervical vertebral
artery variations: An anatomic study. AJNR. Am. J. Neuroradiol.
2007; 28: 976-80.
- Chan Y.T. Double aortic arch presenting as neonatal stridor.
H.K. J. Paediatr (new series). 2003; 8: 126-9.
- Backer C.L. Trends in vascular ring surgery. J. Thorac.
Cardiovasc. Surg. 2005; 129: 1339-47.
- Bronshtein M., Lorber A., Berant M., AuslanderR., ZimmerE.
Sonographic diagnosis of fetal vascular rings in early pregnancy. Am. J. Cardiol. 1998; 8 1 : 101-3.
- Chen Sh. Left pulmonary artery sling complex: computed
tomography and hypothesis of embryogenesis. Ann. Thorac.
Surg. 2007; 84: 1645-50.
- Shanmugam G. Surgical repair of double aortic arch: 16-year
experience. Asian Cardiovasc. Thorac. Ann. 2005; 13: 4-10.
- Yogendra S. Double aortic arch with tetralogy of Fallot: A rare
association. Asian Cardiovasc. Thorac. Ann. 2009; 17: 433-4.
- Dillman J.R. Common and uncommon vascular rings and
slings: a multi-modality revive. Pediatr. Radiol. 2011; 41:
1440-54.
- Gross R.E. Thoracic surgery for infants. J. Thorac. Cardiovasc.
Surg. 1964; 48: 229-309.
- Backer CL. Pediatric and congenital cardiology, Cardiac
Surgery and Intensive Care. 2013: 2219-38.
- Dodge-Khatami А. Vascular rings and pulmonary arterial sling:
from respiratory collapse to surgical cure, with emphasis on
judicious imaging in the hi-tech era. Cardiol. Young. 2002; 12:
96-104.
- Van Son J.A. Surgical treatment of vascular rings: the Mayo
Clinic experience. Mayo Clin. Proc. 1993; 68: 1056-63.
- Kirklin J., Barratt-Boyes B. Cardiac surgery. 4th ed. Chapter
51: Vascular ring and sling. 2003; 1832-54.
- Backer C.L., Mavroudis C. Pediatric Cardiac Surgery. Mosby;
2003; 234-50.
- Беседин С.Н. Хирургическое лечение сосудистого кольца
в сочетании с врожденным пороком сердца. Грудная и сердечно-
сосудистая хирургия. 1990; 10: 76-7.
- Backer C.I., Mavroudis C., Dunham M.E. et al. Pulmonary artery
sling: results with median sternotomy, cardiopulmonary bypass,
and reimplantation. Ann. Thorac. Surg. 1999; 67: 1738-45.
- Backer C.L., Russell H.M., Kaushal S., Rastatter J.C., Rigsby
C.K., Holinger L.D. Pulmonary artery sling: Current results
with cardiopulmonary bypass. J. Thorac. Cardiovasc. Surg.
2012; 143: 144-51.
- Backer C.L., Mavroudis C., Dunham M.E., Holinger L.D.
Repair of congenital tracheal stenosis with a free tracheal autograft.
J. Thorac. Cardiovasc. Surg. 1998; 115: 869-74.
- Chun К. Diagnosis and management of congenital vascular
rings: A 22-year experience. Ann. Thorac. Surg. 1992; 53:
597-603.
- Andrew C. Surgical treatment of pulmonary artery sling and
tracheal stenosis. Ann. Thorac. Surg. 2005; 79: 38-46.
- Harmandar В. Surgical treatment of double aortic arch. Turk.
Gogus Kalp Dama. 2014; 22: 709-16.
- Pawade A. Pulmonary artery sling. Ann. Thorac. Surg. 1992;
54: 967-70.
