Vascular ring

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Background

  • Congenital anatomic abnormalities of the aortic arch --> compression of the trachealbronchial tree and esophagus --> respiratory and GI symptoms.
  • Accounts for 1-3 of congenital heart disease
  • Males have double the risk compared to females

Clinical Features

Differential Diagnosis

Pediatric stridor

<6mo

>6mo


Evaluation

  • Unlikely to be definitively diagnosed in ED
  • CXR
    • Not sensitive, but good place to start
  • Barium esophagography
  • Echocardiography
  • Bronchoscopy, cardiac catheterization

Management

  • Surgical management for all symptomatic patients

Disposition

  • Admit if symptomatic or new diagnosis

See Also

References