UNASSIGNED: In this single-center retrospective study, data were extracted from patient medical records. To obtain information on symptoms/medication at follow-up, clinical records from pediatric clinics were reviewed. For patients followed in other institutions, a web-based questionnaire was sent to referring pediatricians.
UNASSIGNED: Out of 82 patients, 69 were symptomatic (84%). Common symptoms included recurrent respiratory tract infections (43%), stridor (32%), gastro-esophageal reflux (33%), and dysphagia (26%). Diagnosis relied on cardiac ultrasound, barium swallow studies, and chest computerized tomography scan. Surgical repair (thoracotomy 91%) was performed in 79 patients (96%). Median age at repair was 13 [interquartile range (IQR), 4.4-48] months. There was no mortality. Minor complications occurred in 14 patients (18%). Median hospital length of stay was 7 (IQR, 6-9) days. In total, 24% of patients remained symptomatic (median follow-up 54 months). Half of those were asthma-related, with nearly 90% freedom from ring-related symptoms.
UNASSIGNED: Most patients were symptomatic at the time of diagnosis. Vascular rings such as pulmonary slings or tracheal compression syndromes require prompt management. Despite surgery, 24% of patients were not symptom-free at follow-up. Finally, surgery in asymptomatic patients resulted in low morbidity supporting the current recommendation of early surgical repair.
UNASSIGNED: III.
■在这项单中心回顾性研究中,数据从患者病历中提取.为了在随访中获得症状/药物的信息,我们回顾了儿科诊所的临床记录.对于在其他机构随访的患者,我们向转诊儿科医生发送了一份基于网络的调查问卷.
■在82名患者中,69例出现症状(84%)。常见症状包括反复呼吸道感染(43%),stridor(32%),胃食管反流(33%),和吞咽困难(26%)。诊断依赖于心脏超声,钡吞咽研究,和胸部计算机断层扫描。79例(96%)患者进行了手术修复(开胸手术91%)。修复时的中位年龄为13[四分位数间距(IQR),4.4-48]个月。没有死亡。14例(18%)患者发生轻微并发症。住院时间中位数为7(IQR,6-9)天。总的来说,24%的患者仍有症状(中位随访54个月)。其中一半与哮喘有关,与环相关的症状几乎90%的自由。
■大多数患者在诊断时都有症状。血管环如肺吊索或气管压迫综合征需要及时处理。尽管做了手术,24%的患者在随访时没有症状。最后,无症状患者的手术发病率较低,支持目前建议的早期手术修复.
■III.