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European Journal of Cardio-Thoracic Surgery, Vol 3, 125-129, Copyright © 1989 by European Association for Cardio-thoracic Surgery

ARTICLES

Iatrogenic, unexpected and other vascular rings in children

M Leijala, H Sairanen, L Makinen, EL Maunuksela and I Louhimo
Children's Hospital, University of Helsinki, Finland.

Between May 1955 and July 1987, 33 children with a vascular ring compression syndrome were treated at this institution. There were 4 iatrogenic, 2 unexpectedly found and 27 symptomatic congenital vascular rings. Accurate diagnosis is based on a water soluble iodine contrast dye oesophagogram, bronchoscopy and angiography which are complementary examinations. All symptomatic congenital vascular rings were treated successfully without mortality, but the mortality was 50% if the lesion was iatrogenic in origin or unexpectedly found during palliative or corrective cardiac surgery.

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