scholarly journals Adult Onset Dysphagia: Right Sided Aortic Arch, Ductus Diverticulum, and Retroesophageal Ligamentum Arteriosum Comprising an Obstructing Vascular Ring

2017 ◽  
Vol 2017 ◽  
pp. 1-3 ◽  
Author(s):  
Ankur Sinha ◽  
Hitesh Raheja ◽  
Vinod Namana ◽  
Sunil Abrol ◽  
Stephan Kamholz ◽  
...  
Keyword(s):  
Aortic Arch ◽  
Vascular Ring ◽  
Mirror Image ◽  
Ligamentum Arteriosum ◽  
Ct Angiogram ◽  
Contrast Enhanced ◽  
Cardiac Apex ◽  
Ductus Diverticulum ◽  
Swallow Study ◽  
Enhanced Computed Tomography

A 49-year-old African American male patient with no past medical history was admitted because of 3 months of difficulty swallowing solid and liquid foods. He had constant retrosternal discomfort and appeared malnourished. The chest radiograph revealed a right sided aortic arch with tracheal deviation to the left. A swallow study confirmed a fixed esophageal narrowing at the level of T6. Contrast enhanced Computed Tomography (CT) angiogram of the chest and neck revealed a mirror image right aortic arch with a left sided cardiac apex and a prominent ductus diverticulum (measuring 1.7 × 1.8 cm). This structure extended posterior to and indented the mid esophagus. A left posterolateral thoracotomy was performed and the ductus diverticulum was resected. A retroesophageal ligamentum arteriosum was found during surgery and divided. This rare combination of congenital anatomical aberrations led to severe dysphagia in our patient. Successful surgical correction in the form of resection of the ductus diverticulum and division of the retroesophageal ligamentum arteriosum led to complete resolution of our patient’s symptoms.

scholarly journals Use of Contrast-Enhanced MR Angiography (CE-MRA) for the Diagnosis of a Vascular Ring Anomaly in a Dog

2012 ◽  
Vol 2012 ◽  
pp. 1-4
Author(s):  
Silke Hecht ◽  
April M. Durant ◽  
William H. Adams ◽  
Gordon A. Conklin
Keyword(s):  
Magnetic Resonance ◽  
Aortic Arch ◽  
Vascular Ring ◽  
Ligamentum Arteriosum ◽  
University Of Tennessee ◽  
Contrast Enhanced ◽  
Dry Food ◽  
Magnetic Resonance Imaging Mri ◽  
The Right ◽  
Band Crossing

A 4-month-old female mixed breed dog was presented to the University of Tennessee College of Veterinary Medicine with a history of regurgitation and cachexia. Thoracic radiographs revealed focal megaesophagus cranial to the heart base. Magnetic resonance imaging (MRI) was performed. True fast imaging with steady-state precession (TrueFISP), fast low angle shot (FLASH), and short tau inversion recovery (STIR) sequences were acquired prior to contrast medium administration. Contrast-enhanced magnetic resonance angiography (CE-MRA) demonstrated focal megaesophagus and position of the aortic arch to the right of the esophagus. A small ductus diverticulum and an indistinct linear soft tissue band crossing the esophagus were also noted. Surgical exploration confirmed MR diagnosis of a persistent right aortic arch (PRAA) with left ligamentum arteriosum. The dog improved following surgery but was unable to be transitioned to dry food. To our knowledge this is the first report describing the use of CE-MRA for preoperative diagnosis and guided surgical treatment of a vascular ring anomaly in a dog.

A Case of the Right Aortic Arch with Mirror-image Branching and a Left Ligamentum Arteriosum Forming a Vascular Ring

1998 ◽  
Vol 11 (1) ◽  
pp. 177
Author(s):  
Byung Pil Cho ◽  
Ho Suck Kang ◽  
Young Chul Yang ◽  
Tae Sun Hwang ◽  
Ji Won Kim
Keyword(s):  
Aortic Arch ◽  
Vascular Ring ◽  
Mirror Image ◽  
Right Aortic Arch ◽  
Ligamentum Arteriosum ◽  
The Right

MR of right aortic arch with mirror-image branching and a left ligamentum arteriosum: An unusual cause of a vascular ring

1995 ◽  
Vol 25 (6) ◽  
pp. 455-457 ◽  
Author(s):  
A. E. Schlesinger ◽  
E. Mendeloff ◽  
A. M. Sharkey ◽  
T. L. Spray
Keyword(s):  
Aortic Arch ◽  
Vascular Ring ◽  
Mirror Image ◽  
Right Aortic Arch ◽  
Ligamentum Arteriosum

scholarly journals Respiratory Arrest in Infant Secondary to Vascular Ring; Mirror Image Branching with Right Aortic Arch and Left Ligamentum Arteriosum

2014 ◽  
Vol 12 (3) ◽  
pp. 175-178
Author(s):  
Ali Yıldırım ◽  
Pelin Köşger ◽  
Gökmen Özdemir ◽  
Tevfik Demir ◽  
Birsen Uçar ◽  
...  
Keyword(s):  
Aortic Arch ◽  
Vascular Ring ◽  
Respiratory Arrest ◽  
Mirror Image ◽  
Right Aortic Arch ◽  
Ligamentum Arteriosum

Vascular ring surgery – can we do better?

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
G Amir ◽  
N Soffair ◽  
G Frenkel ◽  
E Bruckheimer ◽  
E Nachum ◽  
...  
Keyword(s):  
Aortic Arch ◽  
Respiratory Symptoms ◽  
Ductus Arteriosus ◽  
Vascular Ring ◽  
Symptomatic Relief ◽  
Mirror Image ◽  
Vascular Rings ◽  
Number Of Patients ◽  
Age At Surgery

Abstract Background Vascular anomalies of the Aortic arch can cause respiratory symptoms in children due to tracheal compression. Treatment consists of division of the vascular rings, nevertheless data regarding mid- term results is scarce. The purpose of this study was to evaluate clinical results of vascular ring surgery. Methods Between2007–2014, 85 children underwent vascular ring surgery. 51 had Double Aortic Arch (DAA, 60%), 31 Right Arch with Aberrant Subclavian Artery (RAA & ALSA, 36.5%) and 3 had RAA, mirror image branching & left ductus arteriosus (3.5%). Mean age and weight at operation were 12.4±13months and 8.6±4.1 kg respectively. Mid-term follow-up included clinical follow up by a pulmonologist (38 patients, 44.7%) and a telephone questionnaire (71 patients, 83%) performed 57±25.7 months after surgery. Results In most patients, symptomatic relief occurred in less than 6 months (table 1). Mid –term follow up revealed that although most parents described a significant improvement in their child's respiratory symptoms (95%), a significant number of patients described some residual respiratory symptoms (table 2). We did not find any significant association between age at surgery (under 6 month), or vascular ring anatomy (DAA vs. RAA&ASA) and the presence of residual symptoms at follow up Conclusions Surgical division of vascular rings results in a significant clinical improvement within one year, nevertheless many patients remain symptomatic to some degree. We found no association between the age at surgery or anatomic variant to the presence of symptoms in mid- term follow up. Further evaluation whether a more aggressive surgical approach is warranted in order to decrease the incidence long-term symptoms. Funding Acknowledgement Type of funding source: None

Video-Assisted Thoracoscopic Division of Vascular Rings in Pediatric Patients

2005 ◽  
Vol 71 (4) ◽  
pp. 289-291 ◽  
Author(s):  
Curt S. Koontz ◽  
Amina Bhatia ◽  
Joe Forbess ◽  
Mark L. Wulkan
Keyword(s):  
Aortic Arch ◽  
Pediatric Patients ◽  
Vascular Ring ◽  
Operating Time ◽  
Surgical Techniques ◽  
Retrospective Chart Review ◽  
Ligamentum Arteriosum ◽  
Vascular Rings ◽  
Computed Tomographic ◽  
Video Assisted

Vascular rings are usually repaired via left thoracotomy. We report our series of pediatric patients with vascular rings that were repaired thoracoscopically. From February 2002 to September 2004, 13 patients underwent video-assisted thoracoscopic surgical techniques (VATS) division of their vascular ring. Chest magnetic resonance arterography (MRA) and/or computed tomographic arteriography (CTA) were used to evaluate the vascular ring in most patients. Patients were chosen for VATS repair based on surgeon's choice and type of vascular ring. Data are expressed as mean ± SD. The Children's Healthcare of Atlanta Institutional Review Board approved this retrospective chart review. Age and weight was 1.5 ± 1.8 years (range: 4 months–17 years) and 16.0 ± 12.5 kg (range: 6.0–22.1 kg), respectively (n = 13). Associated diseases included congenital heart disease (n = 2). Symptoms included respiratory complaints (n = 6), dysphagia (n = 2), dysphagia and shortness of breath (n = 1), pneumonia (n = 2), tracheal deviation (n = 1), and one patient was asymptomatic. Vascular ring types included double aortic arch (n = 4) and right aortic arch with an aberrant left subclavian artery and a left ligamentum arteriosum (n = 9). Operating time was 70 ± 20 minutes (range: 46–122 minutes). One patient had to be opened because of a large arch. Length of stay was 1.9 ± 0.9 days (range: 1–3 days). There were no complications, and all patients improved clinically at follow-up. Thoracoscopic repair of certain types of vascular rings seems to be safe and effective in children. More patients, however, need to be studied.

scholarly journals Typical Asthmatic Presentation of Congenital Vascular Ring Can Masquerade a General Physician

2013 ◽  
Vol 2013 ◽  
pp. 1-4
Author(s):  
Naveen Swami ◽  
Georgey Koshy ◽  
Maan Jamal ◽  
Thair S. Abdulla ◽  
Abdulaziz Alkhulaifi
Keyword(s):  
Aortic Arch ◽  
Vascular Ring ◽  
Chest Ct ◽  
General Physician ◽  
Ligamentum Arteriosum ◽  
Tracheal Compression ◽  
X Ray ◽  
Chest X Ray

A 24-year-old woman was referred to pulmonologist with worsening breathlessness and wheeze. During childhood, she was diagnosed with asthma and subsequent exacerbations were treated with bronchodilators for many years. The chest X-ray and a spirometry testing raised a doubt of extrinsic tracheal compression and a subsequent enhanced chest CT (computerized tomogram) scan confirmed a right-sided aortic arch and a vascular ring anomaly compressing the trachea. Standard surgical division of ligamentum arteriosum was able to relieve the trachea and so the symptoms.

Mirror-image right aortic arch: A proposed mechanism in symptomatic vascular ring

1985 ◽  
Vol 8 (3) ◽  
pp. 134-136 ◽  
Author(s):  
Vincent J. D'Souza ◽  
Guillermo Velasquez ◽  
Ted A. Glass ◽  
Augustin G. Formanek
Keyword(s):  
Aortic Arch ◽  
Vascular Ring ◽  
Mirror Image ◽  
Right Aortic Arch

scholarly journals VASCULAR RING- LEFT AORTIC ARCH WITH RIGHT DESCENDING THORACIC AORTA AND RIGHT LIGAMENTUM ARTERIOSUM

2017 ◽  
Vol 4 (26) ◽  
pp. 1568-1571
Author(s):  
Jai Prakash Soni ◽  
Mohan Makwana ◽  
Suresh Kumar ◽  
Kirti Chaturvedi ◽  
Pradeep Singh ◽  
...  
Keyword(s):  
Aortic Arch ◽  
Thoracic Aorta ◽  
Vascular Ring ◽  
Descending Thoracic Aorta ◽  
Ligamentum Arteriosum
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