Question - Is vascular ring surgery dangerous?

Answered by: Arthur Brooks  |  Category: General  |  Last Updated: 24-06-2022  |  Views: 1446  |  Total Questions: 14

Surgical division of a vascular ring is indicated in all symptomatic patients. To avoid serious complications such as sudden death or significant tracheal or bronchial damage, surgery should not be delayed, especially in patients with symptoms of airway compression. Vascular rings that press against the trachea and esophagus can lead to breathing and digestive problems. Respiratory signs and symptoms may include frequent respiratory infections, wheezing or coughing. Digestive signs and symptoms may include trouble swallowing, difficulty feeding or vomiting. A vascular ring occurs when the aorta (the large artery that carries oxygenated blood out of the heart) or its branches form a complete ring around the trachea (the tube that carries air to the lungs) and the esophagus (the tube that carries food to the stomach). Vascular ring is rare. It accounts for less than 1% of all congenital heart problems. The condition occurs as often in males as females. Some infants with vascular ring also have another congenital heart problem. Depending on the specific anatomy, division of the ring may still leave either the subclavian artery or a segment of the aorta itself in an abnormal position behind the esophagus. Improvement of swallowing symptoms in such cases may be seen only gradually. Vascular rings seldom present in adult life.

https://en.wikipedia.org/wiki/Vascular_ring

A vascular ring is a congenital defect in which there is an abnormal formation of the aorta and/or its surrounding blood vessels. The trachea and esophagus are completely encircled and sometimes compressed by a "ring" formed by these vessels, which can lead to breathing and digestive difficulties.

https://en.wikipedia.org/wiki/Right-sided_aortic_arch

Pathophysiology. The causes of right-sided aortic arch are still unknown, 22q11 deletions have been found in some people with this condition. It has also been found in association with other genetic syndromes such as Trisomy 21 (Down syndrome).

https://www.ncbi.nlm.nih.gov/books/NBK431104/

In many patients no underlying genetic abnormality is identified in patients with a right aortic arch; however, a right aortic arch can be associated with Digeorge syndrome (22q11 deletion) as well as conotruncal congenital heart defects such as Tetralogy of Fallot, truncus arteriosus, and d-transposition of the great

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5395925/

Background. A right-sided aortic arch is a rare congenital defect of the aorta. It is present in 0. 05% to 0. 1% of radiology series and in 0. 04%-0. 1% of autopsy series [1, 2].

https://en.wikipedia.org/wiki/Claddagh_ring

The Claddagh ring (Irish: fáinne Chladaigh) is a traditional Irish ring which represents love, loyalty, and friendship (the hands represent friendship, the heart represents love, and the crown represents loyalty).

https://www.medicalnewstoday.com/articles/322002.php

A Schatzki ring is a circular band of mucosal tissue that can form at the end of the food pipe closest to the stomach. The ring of tissue causes the food pipe, or esophagus, to narrow. When a ring forms, a person may have no symptoms. Or, they may have difficulty swallowing, which the medical community calls dysphagia.

http://www.childrenshospital.org/conditions-and-treatments/conditions/t/tracheomalacia

Tracheomalacia is the collapse of the airway when breathing. This means that when your child exhales, the trachea narrows or collapses so much that it may feel hard to breathe. Tracheomalacia can result in recurring respiratory illnesses or make it difficult to recover from a respiratory illness.

https://en.wikipedia.org/wiki/Double_aortic_arch

Little is known regarding the exact causes of aortic arch anomalies. However, the association with chromosome 22q11 deletion (CATCH 22) implies that a genetic component is likely in certain cases. Esophageal atresia also occurs in some patients with double aortic arch.

https://harbinclinic.com/how-heart-works

The arteries are major blood vessels connected to your heart. The pulmonary artery carries blood from the right side of the heart to the lungs to pick up a fresh supply of oxygen. The aorta is the main artery that carries oxygen-rich blood from the left side of the heart to the body.

https://medlineplus.gov/ency/article/007316.htm

Double aortic arch is very rare. Vascular rings make up a small percentage of all congenital heart problems. Of these, a little more than half are caused by double aortic arch. The condition occurs equally in males and females.

https://en.wikipedia.org/wiki/Subclavian_artery

The left subclavian is occasionally joined at its origin with the left common carotid artery, forming a left brachiocephalic trunk. The left subclavian artery is more deeply placed than the right in the first part of its course, and, as a rule, does not reach quite as high a level in the neck.

https://www.hindawi.com/journals/tswj/2014/292734/

The most commonly reported symptoms related to compression of adjacent structures by aberrant right subclavian artery (arteria lusoria) were dysphagia (71. 2%), dyspnea (18. 7%), retrosternal pain (17. 0%), cough (7. 6%), and weight loss greater than 10 kg over a 6-month period (5. 9%).

https://en.wikipedia.org/wiki/Dysphagia_lusoria

Dysphagia lusoria (or Bayford-Autenrieth dysphagia) is an abnormal condition characterized by difficulty in swallowing caused by an aberrant right subclavian artery. It was discovered by David Bayford in 1761 and first reported in a paper by the same in 1787.

https://en.wikipedia.org/wiki/Brachiocephalic_artery

There is no brachiocephalic artery for the left side of the body. The left common carotid, and the left subclavian artery, come directly off the aortic arch. However, there are two brachiocephalic veins.