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Se presenta el caso de lactante de 11 meses con historia de vómitos y estridor laríngeo secundaria a una rara variante de anillo vascular, divertículo de. Respira en forma ruidosa haciendo un silbido agudo al inhalar (estridor); Babea más de lo habitual; Tiene dificultad para tragar; Tiene. La budesonida inhalada ha mostrado efectividad y equivalencia con la dexametasona, sin ser superior. Se sugiere como alternativa en los.

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The sixth aortic arches originate the proximal portions of the branches of the pulmonary estdidor and the right and left arterial ducts, the right one usually disappears and the left one keeps or remain patent during fetal life.

J Thorac Cardiovasc Surg ; 97 5: The symptoms and more characteristic signs are: The surgical treatment is indicated in patients with symptoms of airway or esophageal compression.

Dysphagia and stridor due to right aortic arch with Kommerell’s diverticulum. The magnetic resonance did not defined accurately the structures which formed the vascular ring.

Texas Heart Inst J ; 29 2: Kommerell and Kommerell’s diverticulum. The third aortic arches persist and form the proximal parts of the internal carotid arteries.

Surgical treatment of vascular rings: J Am Board Fam Pract ; 12 3: The term vascular ring is referred to the alterations of the aortic arches in which the trachea and the esophagus are surrounded by these structures. Anomalies of derivatives of the aortic arch system. The clinical manifestations of the vascular ring and the seriousness will depend directly on the compression degree, in most of the patients the symptoms will appear before one month old, among the most known are the persistent stridor and feeding difficulty.

Eur J Cardiothorac Surg ; 12 1: Surgical repair of right aortic arch with aberrant left subclavian artery and left ligamentum arteriosum. The distal parts of the first and second arches disappear close to the dorsal aorta, and the proximal areas of them close to the ventral aorta keep on as hyoid and maxillary arteries respectively, which are branches of the external carotid artery.


The fourth aortic arches persist encircling the anterior gut, this symmetry gives up an asymmetric pattern when one segment of the right dorsal aorta normally involutes between the seventh segmental artery and the place of union of both dorsal aortas which determines the formation of the aortic arch to the left.

The embryological knowledge of the transformations of the aortic arches offers great assistance in the understanding of all the types of vascular rings. Report of a case with tracheal compression. The Mayo Clinic experience.

The angiography showed right aortic arch from which the arteries emerged in this order: The cardiac catheterization is indicated when there is a confusion over the structures that form the vascular ring as it was in the case herewith. Lav Invest ; 2: The Kommerell’s diverticulum represents the persistency of the distal segment of double aortic arch, generally the left one which the proximal segment is atretic or disappears.

Respiration ; 69 5: Mayo Clin Proc ; In such situation the left ventral aorta forms the ascendent portion, the fourth left aortic arch originates the transversal part, and the left dorsal aorta gives rise the descendant portion of the left aortic arch. Aneurysm of aberrant subclavian artery with a review of the literature.

Introduction The term vascular ring is referred to the alterations of the aortic arches in which the trachea and the esophagus are surrounded by these structures. A cohort study estrieor review of the literature. J Vase Surg ; Aneurysm of aberrant right subclavian corrected ar tery arising from diverticulum ofKommerell.

Laringitis – Síntomas y causas – Mayo Clinic

Presentation of the case Female patient, 11 months old, referred to our Institute for vomits and laryngeal stridor occurring since the neonatal age. The patient was surgically treated in a successful way. Usually it is not associated with other congenital heart disease, estriodr authors have reported the ventricular septal defect as the most frequent malformation, other series mention aortic coartation, tetralogy of Fallot and transposition of the great arteries.


The echocardiogram did not find any intracardiac defect. Two cases of “asthma” revealing a diverticulum of Kommerell. Surgical resection of the diverticulum, and section of the ligament was done so disappearing the digestive, and respiratory symptoms. They are divided in complete and partial; the former are the double aortic arch and the latter come from the aberrant origin of a subclavian artery, or arterial ligament devinicion duct, counterside to dsfinicion aortic arch.

Malformations of the aortic system manifested as vascular rings. J Thorac Cardiovasc Surg ; 75 2: Vascular anomalies causing tracheoesophageal compression.

On the other side the dorsal aorta between the third and fourth aortic arches known as carotid ducts, involute too. J Vase Surg ; 2: The moment of the presentation is varied, but it normally occurs in the neonatal period.

In this patient, it was the cardiac catheterization which allowed to define the structures that estrieor the vascular ring. Review of experience in children.

Left subclavian artery was pull by a ligament which began from a retroesophagic diverticulum from the descending aorta Figs. The right ventral aorta give origin to the brachycephalic arterial trunk, from which the right common carotid artery and the definucion subclavian artery emerge, this last one has a tripartite origin, the proximal part derives from the right fourth aortic arch, the intermediate segment from the right dorsal aorta between this arch definiciln the origin of the seventh segmentary artery, this last one constitutes the distal part.