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Children 2016, 3(4), 44; doi:10.3390/children3040044

Natural History of Asymptomatic and Unrepaired Vascular Rings: Is Watchful Waiting a Viable Option? A New Case and Review of Previously Reported Cases

Department of Cardiology and Department of Cardiothoracic Surgery, Children’s Hospital of Wisconsin, 9000 Wisconsin Avenue, Milwaukee, WI 53226, USA
Academic Editor: Sari A. Acra
Received: 9 November 2016 / Revised: 13 December 2016 / Accepted: 15 December 2016 / Published: 21 December 2016
View Full-Text   |   Download PDF [832 KB, uploaded 21 December 2016]   |  

Abstract

Vascular rings are a rare form of congenital heart disease in which abnormal aortic arch anatomy leads to encircling of the esophagus and/or trachea by the aortic vasculature. Symptoms can develop from this and prompt the need for surgery. A natural history study has been done on mildly symptomatic patients but no such study has been done on asymptomatic patients. We present a case report of three children with asymptomatic vascular rings who continue to receive follow-up without intervention and review all published cases of asymptomatic or unrepaired vascular rings. Clinical observation of asymptomatic and mildly symptomatic vascular rings, regardless of aortic arch anatomy, seems to be a safe approach. Children with mild symptoms almost invariably seem to have resolution of their symptoms by four years of age. View Full-Text
Keywords: vascular ring; right aortic arch; double aortic arch; asymptomatic; unrepaired; vascular anomaly vascular ring; right aortic arch; double aortic arch; asymptomatic; unrepaired; vascular anomaly
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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Loomba, R.S. Natural History of Asymptomatic and Unrepaired Vascular Rings: Is Watchful Waiting a Viable Option? A New Case and Review of Previously Reported Cases. Children 2016, 3, 44.

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