Vascular rings – what has changed, and what do I need to know as a practitioner?

Vascular rings represent a heterogeneous set of aberrant great vessel anatomic configurations which can cause respiratory symptoms or dysphagia due to tracheal or oesophageal compression. These symptoms can be subtle and may present at varied ages. More recently, many have been identified in patient...

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Published inCardiology in the young Vol. 35; no. 5; pp. 881 - 887
Main Authors Madira, Sarah, Orr, William B., Rosenblum, Joshua M., Pitman, Ryan, Nguyen, Quang-Tuyen, Molter, David, Lloyd, Ashley, Glickstein, Julie, Renno, Markus, Eghtesady, Pirooz, Miller, Jacob R.
Format Journal Article
LanguageEnglish
Published Cambridge, UK Cambridge University Press 01.05.2025
Subjects
Echocardiography
Female
Humans
Pregnancy
Review
Surgery
Ultrasonography, Prenatal
Vascular Ring - complications
Vascular Ring - diagnosis
Vascular Ring - diagnostic imaging
Vascular Ring - surgery
Vascular ring
paediatrician
fetal
asymptomatic
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Summary:Vascular rings represent a heterogeneous set of aberrant great vessel anatomic configurations which can cause respiratory symptoms or dysphagia due to tracheal or oesophageal compression. These symptoms can be subtle and may present at varied ages. More recently, many have been identified in patients without symptoms, including fetal echocardiogram, resulting in a conundrum for practitioners when attempting to determine who will benefit from surgical correction. Here, we provide a review of vascular rings and a guide to the practitioner on when to consider additional imaging or referral. Additionally, we discuss the changing landscape regarding asymptomatic patients and fetal echocardiogram.
ISSN:1047-9511
1467-1107
DOI:10.1017/S1047951125001544