Abstract
Vascular rings are congenital anomalies of the aortic arch system in which vascular structures encircle and compress the trachea and esophagus. This chapter elaborates:
1. Anatomy
2. Indication for surgery
3. Approach and cardiopulmonary bypass strategy
4. Transection of the left aortic arch in a patient with a double aortic arch with tracheal compression (video)
5. Repair of a pulmonary artery sling with resection of the trachea and closure of the ventricular septal defect (video)
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Transection of the Left Aortic Arch in a Patient with a Double Aortic Arch with Tracheal Compression
Clip 1: Preoperative findings.
Clip 2: Transection of the PDA and the atretic aortic arch.
Clip 3: Mobilisation of the transected vessels and the mediastinal structures.
Clip 4: Postoperative findings.
Fullversion
Repair of a Pulmonary Artery Sling with Resection of the Trachea and Closure of the Ventricular Septal Defect
Clip 1: Preoperative findings.
Clip 2: Orientation and anatomy.
Clip 3: Dissection of the trachea and the LPA.
Clip 4: Mechanism of the compression.
Clip 5: Initiation of the cardiopulmonary bypass.
Clip 6: Transection of the trachea and anteposition of the left pulmonary artery.
Clip 7: Resection of the tracheal stenosis.
Clip 8: Re-anastomosis of the trachea.
Clip 9: Pericardial flap wraps the tracheal anastomosis.
Clip 10: Unmasking of the potential left pulmonary artery kinking and tracheal compression.
Clip 11: Closure of the ventricular septal defect.
Clip 12: Transection and reimplantation of the left pulmonary artery.
Clip 13: Final result.
Clip 14: Postoperative findings.
Fullversion
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Hraška, V., Murín, P. (2015). Vascular Rings and Pulmonary Artery Sling with Tracheal Stenosis. In: Surgical Management of Congenital Heart Disease II. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-44070-4_7
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DOI: https://doi.org/10.1007/978-3-662-44070-4_7
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-662-44069-8
Online ISBN: 978-3-662-44070-4
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