Treatment of symptomatic vascular rings in the elderly

A 76-year-old woman presented with respiratory failure that was later determined to be a result of a right aortic arch with an aberrant left brachiocephalic artery. This vascular ring compressed the trachea, requiring operative intervention. A median sternotomy gave access for an aorta-to-left brach...

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Bibliographic Details
Published in:Texas Heart Institute journal 2005, Vol.32 (3), p.411-415
Main Authors: Hardin, Rosemarie E, Brevetti, Gregory R, Sanusi, Michael, Bhaskaran, Dinesh, Burack, Joshua H, Genovesi, Mark H, Lowery, Robert C, Rafii, Shahrokh, Bondi, Elliot
Format: Article
Language:English
Subjects:
Aged
Angiography
Aorta, Thoracic - abnormalities
Aorta, Thoracic - diagnostic imaging
Aorta, Thoracic - surgery
Brachiocephalic Trunk - abnormalities
Brachiocephalic Trunk - diagnostic imaging
Brachiocephalic Trunk - surgery
Bronchoscopy
Case Report
Constriction, Pathologic
Female
Humans
Respiratory Insufficiency - etiology
Respiratory Insufficiency - pathology
Tomography, X-Ray Computed
Trachea - pathology
Vascular Diseases - complications
Vascular Diseases - diagnostic imaging
Vascular Diseases - surgery
Vascular Surgical Procedures - methods
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Summary:A 76-year-old woman presented with respiratory failure that was later determined to be a result of a right aortic arch with an aberrant left brachiocephalic artery. This vascular ring compressed the trachea, requiring operative intervention. A median sternotomy gave access for an aorta-to-left brachiocephalic artery bypass and division of the vascular ring. This is a unique case, because vascular rings rarely present in elderly patients with such acute life-threatening symptoms. To our knowledge, this is the oldest and heaviest patient ever reported with symptomatic presentation and one of only 4 patients over the age of 50. The current literature on vascular rings of the thoracic aorta in adults is reviewed.
ISSN:0730-2347