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European Journal of Cardio-Thoracic Surgery, Vol 3, 250-254, Copyright © 1989 by European Association for Cardio-thoracic Surgery

ARTICLES

Congenital vascular rings: surgical management of 111 cases

IL Hartyanszky, K Lozsadi, P Marcsek, T Huttl, E Sapi and AB Kovacs
Department of Paediatrics II, Semmelweis University Medical School, Budapest, Hungary.

Between October 1974 and May 1987, 111 congenital vascular rings were submitted to surgical correction. There were 83 infants (age: 5 days-12 months, median: 7 months; weight: 1.9-8.5 kg, median: 7.1 kg), and 28 children (age: 1-13 years, median: 3.5 years; weight: 7.5-48 kg, median: 26.5 kg). Patients were divided into five groups: (1) double patent aortic arch (44 cases), (2) double aortic arch with atresia in different parts of the left arch (36 cases), (3) right aortic arch with left ligamentum arteriosum (21 cases), (4) left aortic arch with aberrant right subclavian artery and truncus caroticus (8 cases), and (5) pulmonary artery sling (2 cases). We had no intraoperative mortality but in the postoperative period, 2 neonates died of severe bacterial infections of the respiratory tract.

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