Se presenta el caso de lactante de 11 meses con historia de vómitos y estridor laríngeo secundaria a una rara variante de anillo vascular, divertículo de. Respira en forma ruidosa haciendo un silbido agudo al inhalar (estridor); Babea más de lo habitual; Tiene dificultad para tragar; Tiene. La budesonida inhalada ha mostrado efectividad y equivalencia con la dexametasona, sin ser superior. Se sugiere como alternativa en los.

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The symptoms and more characteristic signs are: Surgical treatment of vascular deffinicion The Kommerell’s diverticulum represents the persistency of the distal segment of double aortic arch, generally the left one which the proximal segment is atretic or disappears.

Stridor in a 6 week old infant caused by right aortic arch with aberrant left subclavian artery.

Two cases of “asthma” revealing a diverticulum of Kommerell. Usually it is not associated with other congenital heart disease, some authors have reported the ventricular septal defect as the most frequent malformation, other series mention aortic coartation, tetralogy of Fallot and transposition of the great arteries.

Presentation of the case Female patient, 11 months old, referred to our Institute for vomits and laryngeal stridor occurring since the neonatal age. In such situation the left ventral aorta forms the ascendent portion, the fourth left aortic arch originates the transversal part, and the left dorsal aorta gives rise the descendant portion of the left aortic arch.

The third aortic arches persist and form the proximal parts of the internal estrdior arteries.


Surgical resection of the diverticulum, and section of the ligament was done so disappearing the digestive, and respiratory symptoms. Surgical repair of right aortic arch with aberrant left subclavian artery and left ligamentum arteriosum. The surgical treatment is indicated in patients with symptoms of airway or esophageal compression.


A cohort study and review of the literature. The magnetic resonance did not defined accurately the structures which formed the vascular ring. Report of a case with tracheal compression. Anomalies of derivatives of the aortic arch system. Texas Heart Inst J ; 29 2: They are divided in complete and defibicion the former are the double aortic arch and the latter come from the aberrant origin of a subclavian artery, or arterial ligament or duct, estridod to the aortic arch.

The embryological knowledge of the transformations of the aortic arches offers great assistance in the understanding of all the types of vascular rings.

Cina reported a surgical mortality of 8. The echocardiogram did not find any intracardiac defect.

LARINGITIS by vaneza avila on Prezi

Eur J Cardiothorac Surg ; 12 1: The moment of the presentation is varied, but it normally occurs in the neonatal period. Vascular anomalies causing tracheoesophageal compression.

The angiography showed right aortic arch from which the arteries emerged in this order: Kommerell and Kommerell’s diverticulum. Respiration ; 69 5: The distal parts of the first and second arches disappear close to the dorsal aorta, and the proximal areas of them close to the ventral aorta keep on as hyoid and maxillary arteries respectively, which are branches of the external carotid artery. The Mayo Clinic experience. Malformations of the aortic system manifested as vascular rings.

The clinical manifestations of the vascular ring and the seriousness will depend directly on the compression degree, in most of the patients the symptoms will appear before one month old, among the most known are the persistent stridor and feeding difficulty.

The right ventral aorta give origin to the brachycephalic arterial trunk, from which the right common carotid artery and the right subclavian artery emerge, this last one has a tripartite origin, the proximal part derives from the right fourth aortic arch, the intermediate segment sefinicion the right dorsal aorta between this arch and the origin of the seventh segmentary artery, this last one constitutes the distal part.


The fourth aortic arches persist encircling the anterior gut, this symmetry gives up an asymmetric pattern when definicuon segment of the right dorsal aorta normally involutes between the seventh segmental artery and the place of union of both dorsal aortas which determines the formation of the aortic arch to the left.

Left subclavian artery was pull by a ligament which began from a retroesophagic diverticulum esgridor the descending aorta Figs. Female patient, 11 months old, referred to our Institute for vomits and laryngeal estrdor occurring since the neonatal age.

Lav Invest ; 2: Review of experience in children. J Vase Surg ; 2: J Am Board Fam Pract ; 12 3: In this patient, it was the cardiac catheterization which allowed to define the structures that constituted the vascular ring.

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J Vase Surg ; Mayo Clin Proc ; Aneurysm of aberrant right subclavian corrected ar tery arising from diverticulum ofKommerell. The sixth aortic arches defiicion the proximal portions of the branches of the pulmonary artery and the right and left arterial ducts, the right one usually disappears and the left one keeps or remain patent during fetal life.

Mayo Clin North Am ; Aneurysm of aberrant subclavian artery with a review of the literature.