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Published in: Pediatric Cardiology 3/2008

01-05-2008 | Case Report

Not All Symptoms Disappear After Vascular Ring Division

A Pathophysiological Interpretation

Authors: Augusto Zani, Francesco Morini, Pasquale Paolantonio, Denis A. Cozzi

Published in: Pediatric Cardiology | Issue 3/2008

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Abstract

Vascular rings are a group of cardiovascular lesions due to faulty embryological development derived from an abnormality of neural crest cells (cephalic neurocristopathy). In addition to peculiar symptoms due to compression on the trachea and/or the esophagus, patients with vascular rings might present further features of neural crest-related defects. We report on a case of a child with complete vascular ring, affected both by compressive symptoms and by autonomic disturbances and minor facial anomalies. The autonomic disturbances are clinical features of maturational dysautonomia and tend to disappear with aging, whereas major compressive symptoms are solved by surgery.
Literature
1.
go back to reference Cozzi F, Myers NA, Piacenti S, et al. (1993) Maturational dysautonomia and facial anomalies associated with esophageal atresia: support for neural crest involvement. J Pediatr Surg 28:798–801PubMedCrossRef Cozzi F, Myers NA, Piacenti S, et al. (1993) Maturational dysautonomia and facial anomalies associated with esophageal atresia: support for neural crest involvement. J Pediatr Surg 28:798–801PubMedCrossRef
2.
go back to reference Deviri E, Levy M (1996) Vascular rings. In: Puri P (ed) Newborn Surgery. Butterworth-Heinemann, Oxford, pp. 173–181 Deviri E, Levy M (1996) Vascular rings. In: Puri P (ed) Newborn Surgery. Butterworth-Heinemann, Oxford, pp. 173–181
3.
go back to reference Edwards JE (1948) Anomalies of the derivates of the aortic arch system. Med Clin N Am 32:925–949 Edwards JE (1948) Anomalies of the derivates of the aortic arch system. Med Clin N Am 32:925–949
4.
go back to reference Grodtfredsen J, Wennevold A, Efsen F, Lauridsen P (1977) Natural history of vascular ring with clinical manifestations. a follow-up study of eleven unoperated cases. Scand J Thorac Cardiovasc Surg 11:75–77 Grodtfredsen J, Wennevold A, Efsen F, Lauridsen P (1977) Natural history of vascular ring with clinical manifestations. a follow-up study of eleven unoperated cases. Scand J Thorac Cardiovasc Surg 11:75–77
5.
go back to reference Le Lievre CS, Le Douarin NM (1975) Mesenchymal derivatives of the neural crest: analysis of chimaeric quail and chic embryos. J Embryol Exp Morphol 34:125–154PubMed Le Lievre CS, Le Douarin NM (1975) Mesenchymal derivatives of the neural crest: analysis of chimaeric quail and chic embryos. J Embryol Exp Morphol 34:125–154PubMed
7.
go back to reference Stewart JR, Kinkaid OW, Edwards JE (1964) An Atlas of Vascular Rings and Related Malformations of the Aortic Arch System. Charles C Thomas, Springfield, IL Stewart JR, Kinkaid OW, Edwards JE (1964) An Atlas of Vascular Rings and Related Malformations of the Aortic Arch System. Charles C Thomas, Springfield, IL
Metadata
Title
Not All Symptoms Disappear After Vascular Ring Division
A Pathophysiological Interpretation
Authors
Augusto Zani
Francesco Morini
Pasquale Paolantonio
Denis A. Cozzi
Publication date
01-05-2008
Publisher
Springer-Verlag
Published in
Pediatric Cardiology / Issue 3/2008
Print ISSN: 0172-0643
Electronic ISSN: 1432-1971
DOI
https://doi.org/10.1007/s00246-007-9041-y

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