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October 1969

Congenital Aortic Vascular Ring

Author Affiliations

Los Angeles
From the Department of Surgery, Childrens Hospital of Los Angeles and University of Southern California School of Medicine, Los Angeles.

Arch Surg. 1969;99(4):521-523. doi:10.1001/archsurg.1969.01340160101023

Compression of the trachea and esophagus by vascular anomalies of the aortic arch and its branches may be a threat to life in infancy. The significance of the so-called vascular ring, long recognized as a cause of obstruction of the trachea and esophagus in early life, assumed new importance in 1945 when the operation by Gross1 placed this entity among the surgically correctable congenital lesions of the great vessels. Since that time, experience with the operative treatment of these anomalies has been accumulated.2-4

In the normal 12-mm human embryo, the aortic trunk divides into a left and a right arch. These arches pass on either side of the trachea and esophagus and rejoin to form a single descending dorsal aorta. Normally, a process of absorption or resolution takes place in the right arch distal to the right subclavian, leaving the remaining portion of the right arch to become

Gross, R.E.:  Surgical Relief for Tracheal Obstruction From Vascular Ring ,  New Eng J Med 233:586-590 ( (Nov 15) ) 1945.Crossref
Gross, R.E., and Neuhauser, E.B.D.:  Compression of the Trachea or Esophagus by Vascular Anomalies ,  Pediatrics 7:69-88 ( (Jan) ) 1951.
Mustard, W.T.; Trimble, A.W.; and Trusler, G.A.:  Mediastinal Vascular Anomalies Causing Tracheal and Esophageal Compression and Obstruction in Childhood ,  Canad Med Assoc J 87:1301-1305 ( (Dec 22) ) 1962.
Hallman, G.L., and Cooley, D.A.:  Congenital Aortic Vascular Ring: Surgical Considerations ,  Arch Surg 88:666-674 ( (April) ) 1964.Crossref
Edwards, J.E.:  Anomalies of the Derivatives of the Aortic Arch System ,  Med Clin N Amer 32:925-949 ( (July) ) 1948.
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Hallman, G.L.; Cooley, D.A.; and Bloodwell, R.D.:  Congenital Vascular Ring .  Surg Clin N Amer 46:885-892 ( (Aug) ) 1966.