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Influence of Fetal Diagnosis on the Clinical Presentation of a Vascular Ring

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Abstract

A fetus had a diagnosis of a vascular ring formed by a right aortic arch with an aberrant left subclavian artery. The infant experienced isolated dysphagia and vomiting 3 months after birth. Magnetic resonance imaging (MRI) confirmed the vascular ring and demonstrated profound, isolated esophageal dilation with normal airways. The severity of postnatal symptoms due to a vascular ring is difficult to determine in utero. Expectant management of the lesion is necessary, and use of MRI as the imaging method allows for both confirmation of the diagnosis and evaluation of the airway and esophagus while avoiding radiation.

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References

  1. Backer CL, Hillman N, Mavroudis C, Holinger LD (2002) Resection of Kommerell’s diverticulum and left subclavian artery transfer for recurrent symptoms after vascular ring division. Eur J Cardiothorac Surg 22:64–69

    Article  PubMed  CAS  Google Scholar 

  2. Cina CS, Althani H, Pasenau J, Abouzahr L (2004) Kommerell’s diverticulum and right-sided aortic arch: a cohort study and review of the literature. J Vasc Surg 39:131–139

    Article  PubMed  CAS  Google Scholar 

  3. Humphrey C, Duncan K, Fletcher S (2006) Decade of experience with vascular rings at a single institution. Pediatrics 117:e903–e908

    Article  PubMed  Google Scholar 

  4. Juraszek AL, Guleserian KJ (2006) Common aortic arch anomalies: diagnosis and management. Curr Treat Options Cardiovasc Med 8:414–418

    Article  PubMed  Google Scholar 

  5. Kocis KC, Midgley FM, Ruckman RN (1997) Aortic arch complex anomalies: 20-year experience with symptoms, diagnosis, associated cardiac defects, and surgical repair. Pediatr Cardiol 18:127–132

    Article  PubMed  CAS  Google Scholar 

  6. Li S, Luo G, Norwitz E, Wang C, Chen X, Bi J (2011) Prenatal diagnosis of congenital vascular rings and slings: sonographic features and perinatal outcome in 81 consecutive cases. Prenat Diag 31:334–346

    Article  CAS  Google Scholar 

  7. Marmon LM, Bye MR, Haas JM, Balsara RK, Dunn JM (1984) Vascular rings and slings: long-term follow-up of pulmonary function. J Pediatr Surg 19:683–692

    Article  PubMed  CAS  Google Scholar 

  8. Patel CR, Lane JR, Spector ML, Smith PC (2006) Fetal echocardiographic diagnosis of vascular rings. J Ultrasound Med 25:251–257

    PubMed  Google Scholar 

  9. Tuo G, Volpe P, Bava GL, Bondanza S, De Robertis V, Pongiglione G, Marasini M (2009) Prenatal diagnosis and outcome of isolated vascular rings. Am J Cardiol 103:416–419

    Article  PubMed  Google Scholar 

  10. Turner A, Gavel G, Coutts J (2005) Vascular rings: presentation, investigation and outcome. Eur J Pediatr 164:266–270

    Article  PubMed  Google Scholar 

  11. Woods RK, Sharp RJ, Holcomb GW III, Snyder CL, Lofland GK, Ashcraft KW, Holder TM (2001) Vascular anomalies and tracheoesophageal compression: a single institution’s 25-year experience. Ann Thorac Surg 72:434–438 discussion 438–439

    Article  PubMed  CAS  Google Scholar 

  12. Yoo SJ, Min JY, Lee YH, Roman K, Jaeggi E, Smallhorn J (2003) Fetal sonographic diagnosis of aortic arch anomalies. Ultrasound Obstet Gynecol 22:535–546

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Division of Cardiology, W3-200, Children’s National Medical Center, 111 Michigan Avenue NW, Washington, DC, 20010, USA

    Laura J. Olivieri, Russell R. Cross & Mary T. Donofrio

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  1. Laura J. Olivieri
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  2. Russell R. Cross
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  3. Mary T. Donofrio
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Correspondence to Laura J. Olivieri.

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Olivieri, L.J., Cross, R.R. & Donofrio, M.T. Influence of Fetal Diagnosis on the Clinical Presentation of a Vascular Ring. Pediatr Cardiol 33, 351–353 (2012). https://doi.org/10.1007/s00246-011-0129-z

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  • DOI: https://doi.org/10.1007/s00246-011-0129-z

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