Licari Amelia, Manca Enrica, Rispoli Gaetana Anna, Mannarino Savina, Pelizzo Gloria, Marseglia Gian Luigi
Department of Pediatrics, Foundation IRCCS Policlinico San Matteo, University of Pavia, Italy.
Pediatr Pulmonol. 2015 May;50(5):511-24. doi: 10.1002/ppul.23152. Epub 2015 Jan 20.
Vascular rings are congenital anomalies that lead to variable degrees of respiratory problems or feeding difficulties by forming a complete or partial ring compressing the trachea, the bronchi, and the esophagus. The clinical diagnosis of vascular rings is often challenging for the pediatrician because the clinical manifestations are heterogeneous and nonspecific. Symptoms can vary from wheezing, stridor, dyspnea, and/or dysphagia to life-threatening conditions; however, they may not be present. The aim of this study is to review the recent literature on this subject and describe new developments in diagnostics and imaging.
血管环是一种先天性异常,通过形成一个完整或部分的环压迫气管、支气管和食管,导致不同程度的呼吸问题或喂养困难。血管环的临床诊断对儿科医生来说往往具有挑战性,因为临床表现具有异质性且不具有特异性。症状可能从喘息、喘鸣、呼吸困难和/或吞咽困难到危及生命的情况不等;然而,这些症状也可能不存在。本研究的目的是回顾关于该主题的最新文献,并描述诊断和影像学方面的新进展。