Operation for Aortic Arch Anomalies
Forty-two patients with aortic arch anomalies resulting in tracheoesophageal compression were treated during the period 1948 through 1978. These anomalies are important causes of upper respiratory and esophageal obstruction in babies and small children and can be corrected safely with excellent reli...
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| Veröffentlicht in: | The Annals of thoracic surgery 1981-05, Vol.31 (5), p.426-432 |
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| container_end_page | 432 |
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| container_issue | 5 |
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| container_title | The Annals of thoracic surgery |
| container_volume | 31 |
| creator | Richardson, James V. Doty, Donald B. Rossi, Nicholas P. Ehrenhaft, J.L. |
| description | Forty-two patients with aortic arch anomalies resulting in tracheoesophageal compression were treated during the period 1948 through 1978. These anomalies are important causes of upper respiratory and esophageal obstruction in babies and small children and can be corrected safely with excellent relief of symptoms. Nineteen patients (45%) had a right aortic arch with a ligamentum arteriosum, 17 patients (40%) had double aortic arches, and 6 patients (15%) had aberrant right subclavian arteries. Other associated congenital malformations and mental retardation were seen in 15 patients (36%). Diagnosis was accurately made in 38 patients (90%) by barium esophagogram. Basic surgical principles include exposure through a left thoracotomy, complete identification of the aortic arch anatomy, and division of the constricting ring. Surgical treatment resulted in 2 deaths (5%), and 1 patient died late. Early postoperative respiratory complications were common. All survivors were relieved of their symptoms late (m, 94 months) postoperatively. |
| doi_str_mv | 10.1016/S0003-4975(10)60994-0 |
| format | Article |
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These anomalies are important causes of upper respiratory and esophageal obstruction in babies and small children and can be corrected safely with excellent relief of symptoms. Nineteen patients (45%) had a right aortic arch with a ligamentum arteriosum, 17 patients (40%) had double aortic arches, and 6 patients (15%) had aberrant right subclavian arteries. Other associated congenital malformations and mental retardation were seen in 15 patients (36%). Diagnosis was accurately made in 38 patients (90%) by barium esophagogram. Basic surgical principles include exposure through a left thoracotomy, complete identification of the aortic arch anatomy, and division of the constricting ring. Surgical treatment resulted in 2 deaths (5%), and 1 patient died late. Early postoperative respiratory complications were common. All survivors were relieved of their symptoms late (m, 94 months) postoperatively.</description><identifier>ISSN: 0003-4975</identifier><identifier>EISSN: 1552-6259</identifier><identifier>DOI: 10.1016/S0003-4975(10)60994-0</identifier><identifier>PMID: 7224699</identifier><language>eng</language><publisher>Netherlands: Elsevier Inc</publisher><subject>Adolescent ; Adult ; Aged ; Aorta, Thoracic - abnormalities ; Aortic Arch Syndromes - complications ; Aortic Arch Syndromes - surgery ; Child ; Child, Preschool ; Esophageal Stenosis - etiology ; Female ; Follow-Up Studies ; Humans ; Infant ; Infant, Newborn ; Male ; Middle Aged ; Subclavian Artery - abnormalities ; Tracheal Stenosis - etiology</subject><ispartof>The Annals of thoracic surgery, 1981-05, Vol.31 (5), p.426-432</ispartof><rights>1981 The Society of Thoracic Surgeons</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c494t-2f167f98d757a123ba4a1fafe8c0119353ba545cc930791c11caf3baa3002a203</citedby><cites>FETCH-LOGICAL-c494t-2f167f98d757a123ba4a1fafe8c0119353ba545cc930791c11caf3baa3002a203</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/7224699$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Richardson, James V.</creatorcontrib><creatorcontrib>Doty, Donald B.</creatorcontrib><creatorcontrib>Rossi, Nicholas P.</creatorcontrib><creatorcontrib>Ehrenhaft, J.L.</creatorcontrib><title>Operation for Aortic Arch Anomalies</title><title>The Annals of thoracic surgery</title><addtitle>Ann Thorac Surg</addtitle><description>Forty-two patients with aortic arch anomalies resulting in tracheoesophageal compression were treated during the period 1948 through 1978. These anomalies are important causes of upper respiratory and esophageal obstruction in babies and small children and can be corrected safely with excellent relief of symptoms. Nineteen patients (45%) had a right aortic arch with a ligamentum arteriosum, 17 patients (40%) had double aortic arches, and 6 patients (15%) had aberrant right subclavian arteries. Other associated congenital malformations and mental retardation were seen in 15 patients (36%). Diagnosis was accurately made in 38 patients (90%) by barium esophagogram. Basic surgical principles include exposure through a left thoracotomy, complete identification of the aortic arch anatomy, and division of the constricting ring. Surgical treatment resulted in 2 deaths (5%), and 1 patient died late. Early postoperative respiratory complications were common. All survivors were relieved of their symptoms late (m, 94 months) postoperatively.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aorta, Thoracic - abnormalities</subject><subject>Aortic Arch Syndromes - complications</subject><subject>Aortic Arch Syndromes - surgery</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Esophageal Stenosis - etiology</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Subclavian Artery - abnormalities</subject><subject>Tracheal Stenosis - etiology</subject><issn>0003-4975</issn><issn>1552-6259</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1981</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFUE1LAzEQDaLUWv0JhQVB9LCaySab5iRL8QsKPajnkGYTjOxuarIV-u_NtqVXT8O892bezENoCvgeMJQP7xjjIqeCs1vAdyUWgub4BI2BMZKXhIlTND5KztFFjN-pJYkeoREnhJZCjNH1cm2C6p3vMutDVvnQO51VQX9lVedb1TgTL9GZVU00V4c6QZ_PTx_z13yxfHmbV4tcU0H7nFgouRWzmjOugBQrRRVYZc1MYwBRsIQwyrQWBeYCNIBWNmGqSGcpgosJutnvXQf_szGxl62L2jSN6ozfRMlZSQSnsyRke6EOPsZgrFwH16qwlYDlEI7chSOHzwdoF44cDKYHg82qNfVx6pBG4h_3vElf_joTZNTOdNrULhjdy9q7fxz-ADEgcbA</recordid><startdate>198105</startdate><enddate>198105</enddate><creator>Richardson, James V.</creator><creator>Doty, Donald B.</creator><creator>Rossi, Nicholas P.</creator><creator>Ehrenhaft, J.L.</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>198105</creationdate><title>Operation for Aortic Arch Anomalies</title><author>Richardson, James V. ; Doty, Donald B. ; Rossi, Nicholas P. ; Ehrenhaft, J.L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c494t-2f167f98d757a123ba4a1fafe8c0119353ba545cc930791c11caf3baa3002a203</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1981</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aorta, Thoracic - abnormalities</topic><topic>Aortic Arch Syndromes - complications</topic><topic>Aortic Arch Syndromes - surgery</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Esophageal Stenosis - etiology</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Subclavian Artery - abnormalities</topic><topic>Tracheal Stenosis - etiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Richardson, James V.</creatorcontrib><creatorcontrib>Doty, Donald B.</creatorcontrib><creatorcontrib>Rossi, Nicholas P.</creatorcontrib><creatorcontrib>Ehrenhaft, J.L.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Annals of thoracic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Richardson, James V.</au><au>Doty, Donald B.</au><au>Rossi, Nicholas P.</au><au>Ehrenhaft, J.L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Operation for Aortic Arch Anomalies</atitle><jtitle>The Annals of thoracic surgery</jtitle><addtitle>Ann Thorac Surg</addtitle><date>1981-05</date><risdate>1981</risdate><volume>31</volume><issue>5</issue><spage>426</spage><epage>432</epage><pages>426-432</pages><issn>0003-4975</issn><eissn>1552-6259</eissn><abstract>Forty-two patients with aortic arch anomalies resulting in tracheoesophageal compression were treated during the period 1948 through 1978. These anomalies are important causes of upper respiratory and esophageal obstruction in babies and small children and can be corrected safely with excellent relief of symptoms. Nineteen patients (45%) had a right aortic arch with a ligamentum arteriosum, 17 patients (40%) had double aortic arches, and 6 patients (15%) had aberrant right subclavian arteries. Other associated congenital malformations and mental retardation were seen in 15 patients (36%). Diagnosis was accurately made in 38 patients (90%) by barium esophagogram. Basic surgical principles include exposure through a left thoracotomy, complete identification of the aortic arch anatomy, and division of the constricting ring. Surgical treatment resulted in 2 deaths (5%), and 1 patient died late. Early postoperative respiratory complications were common. All survivors were relieved of their symptoms late (m, 94 months) postoperatively.</abstract><cop>Netherlands</cop><pub>Elsevier Inc</pub><pmid>7224699</pmid><doi>10.1016/S0003-4975(10)60994-0</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | The Annals of thoracic surgery, 1981-05, Vol.31 (5), p.426-432 |
| issn | 0003-4975 1552-6259 |
| language | eng |
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| source | MEDLINE; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | Adolescent Adult Aged Aorta, Thoracic - abnormalities Aortic Arch Syndromes - complications Aortic Arch Syndromes - surgery Child Child, Preschool Esophageal Stenosis - etiology Female Follow-Up Studies Humans Infant Infant, Newborn Male Middle Aged Subclavian Artery - abnormalities Tracheal Stenosis - etiology |
| title | Operation for Aortic Arch Anomalies |
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