Vascular Ring—Child
Condition
Definition
A vascular ring is a defect of the aorta and nearby large vessels. The aorta is the large artery that carries blood from the heart to the body. Sometimes the aorta and nearby large vessels form in unusual places. The trachea and esophagus can become pressed by the ring formed by these vessels. The defect can be:
- Double aortic arch
- Right aortic arch
It may be found when a child is a baby, but it is often found later in life.
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Causes
Vascular ring is present at birth. It is not known why the heart forms this way.
Risk Factors
The risk factors for vascular ring are not known.
Symptoms
Symptoms vary and can range from mild to severe. A child may have:
- Problems breathing
- Trouble eating solid foods
- Trouble swallowing
Diagnosis
The doctor will ask about the child’s symptoms and health history. A physical exam will be done.
Pictures may be taken of the heart and other structures. This can be done with:
An electrocardiogram (EKG) will be done to measure the heart's electrical activity.
Treatment
Children with symptoms will need surgery. The goal of surgery is to divide the vascular ring. This will ease pressure on the trachea and esophagus.
A heart specialist will need to check on the child as they grow up.
Prevention
There are no current guidelines to prevent vascular ring.
American Heart Association
Healthy Children—American Academy of Pediatrics
CANADIAN RESOURCES:
Canadian Cardiovascular Society
Heart and Stroke Foundation of Canada
American Heart Association
Healthy Children—American Academy of Pediatrics
CANADIAN RESOURCES:
Canadian Cardiovascular Society
Heart and Stroke Foundation of Canada
References
- Vascular ring. Boston Children's Hospital website. Available at: https://www.childrenshospital.org/conditions/vascular-ring.
- Vascular rings. Cincinnati Children’s Hospital website. Available at: http://www.cincinnatichildrens.org/health/v/rings.
- Vascular rings and slings. EBSCO DynaMed website. Available at: https://www.dynamed.com/condition/vascular-rings-and-slings.
Contributors
- Kari Kuenn, MD
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