Rings and Slings: Not Such Simple Things. Curr Cardiol Rep 2022 Oct;24(10):1495-1503
Date
10/04/2022Pubmed ID
36190599Pubmed Central ID
PMC9556351DOI
10.1007/s11886-022-01764-8Scopus ID
2-s2.0-85139667176 (requires institutional sign-in at Scopus site) 1 CitationAbstract
PURPOSE OF REVIEW: Vascular rings are congenital malformations resulting from abnormal development of the great vessels, with the consequent encircling and compression of the trachea, esophagus, or both. We conducted a review of the current literature to identify the different management strategies that can be implemented based on the prognosis of each of these anomalies.
RECENT FINDINGS: Although most vascular rings occur in isolation, they can also be associated with other congenital cardiac and/or respiratory diseases; therefore, thorough investigation is necessary before definitive surgical repair. Clinical presentation varies from asymptomatic to severe, with both respiratory and digestive symptoms. Although early surgical results are acceptable, the long-term outcome is variable; therefore, there is still controversy regarding the appropriate timing of treatment. This is especially true with regard to the Kommerell diverticulum (KD) and in patients without symptoms at the time of initial surgical evaluation. As more sophisticated diagnostic tools have become available and more studies on adults affected by this condition have been published, understanding of this condition and its additional clinical implications has grown and appears to be tilting management toward earlier intervention.
Author List
Ruiz-Solano E, Mitchell MAuthor
Michael Edward Mitchell MD Chief, Professor in the Surgery department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdultAorta, Thoracic
Heart Defects, Congenital
Humans
Prognosis
Vascular Ring
