Video-assisted thoracoscopic division of vascular rings in pediatric patients

Curt S. Koontz, Amina Bhatia, Joe Forbess, Mark L. Wulkan

Research output: Contribution to journalArticle

29 Citations (Scopus)

Abstract

Vascular rings are usually repaired via left thoracotomy. We report our series of pediatric patients with vascular rings that were repaired thoracoscopically. From February 2002 to September 2004, 13 patients underwent video-assisted thoracoscopic surgical techniques (VATS) division of their vascular ring. Chest magnetic resonance arterography (MRA) and/or computed tomographic arteriography (CTA) were used to evaluate the vascular ring in most patients. Patients were chosen for VATS repair based on surgeon's choice and type of vascular ring. Data are expressed as mean ± SD. The Children's Healthcare of Atlanta Institutional Review Board approved this retrospective chart review. Age and weight was 1.5 ± 1.8 years (range: 4 months-17 years) and 16.0 ± 12.5 kg (range: 6.0-22.1 kg), respectively (n = 13). Associated diseases included congenital heart disease (n = 2). Symptoms included respiratory complaints (n = 6), dysphagia (n = 2), dysphagia and shortness of breath (n = 1), pneumonia (n = 2), tracheal deviation (n = 1), and one patient was asymptomatic. Vascular ring types included double aortic arch (n = 4) and right aortic arch with an aberrant left subclavian artery and a left ligamentum arteriosum (n = 9). Operating time was 70 ± 20 minutes (range: 46-122 minutes). One patient had to be opened because of a large arch. Length of stay was 1.9 ± 0.9 days (range: 1-3 days). There were no complications, and all patients improved clinically at follow-up. Thoracoscopic repair of certain types of vascular rings seems to be safe and effective in children. More patients, however, need to be studied.

Original languageEnglish (US)
Pages (from-to)289-291
Number of pages3
JournalAmerican Surgeon
Volume71
Issue number4
StatePublished - 2005

Fingerprint

Blood Vessels
Pediatrics
Deglutition Disorders
Thoracic Aorta
Research Ethics Committees
Thoracotomy
Dyspnea
Heart Diseases
Length of Stay
Pneumonia
Angiography
Magnetic Resonance Spectroscopy
Thorax
Delivery of Health Care
Weights and Measures

ASJC Scopus subject areas

  • Surgery

Cite this

Koontz, C. S., Bhatia, A., Forbess, J., & Wulkan, M. L. (2005). Video-assisted thoracoscopic division of vascular rings in pediatric patients. American Surgeon, 71(4), 289-291.

Video-assisted thoracoscopic division of vascular rings in pediatric patients. / Koontz, Curt S.; Bhatia, Amina; Forbess, Joe; Wulkan, Mark L.

In: American Surgeon, Vol. 71, No. 4, 2005, p. 289-291.

Research output: Contribution to journalArticle

Koontz, CS, Bhatia, A, Forbess, J & Wulkan, ML 2005, 'Video-assisted thoracoscopic division of vascular rings in pediatric patients', American Surgeon, vol. 71, no. 4, pp. 289-291.
Koontz, Curt S. ; Bhatia, Amina ; Forbess, Joe ; Wulkan, Mark L. / Video-assisted thoracoscopic division of vascular rings in pediatric patients. In: American Surgeon. 2005 ; Vol. 71, No. 4. pp. 289-291.
@article{3484845d16474575a8257d29c17853be,
title = "Video-assisted thoracoscopic division of vascular rings in pediatric patients",
abstract = "Vascular rings are usually repaired via left thoracotomy. We report our series of pediatric patients with vascular rings that were repaired thoracoscopically. From February 2002 to September 2004, 13 patients underwent video-assisted thoracoscopic surgical techniques (VATS) division of their vascular ring. Chest magnetic resonance arterography (MRA) and/or computed tomographic arteriography (CTA) were used to evaluate the vascular ring in most patients. Patients were chosen for VATS repair based on surgeon's choice and type of vascular ring. Data are expressed as mean ± SD. The Children's Healthcare of Atlanta Institutional Review Board approved this retrospective chart review. Age and weight was 1.5 ± 1.8 years (range: 4 months-17 years) and 16.0 ± 12.5 kg (range: 6.0-22.1 kg), respectively (n = 13). Associated diseases included congenital heart disease (n = 2). Symptoms included respiratory complaints (n = 6), dysphagia (n = 2), dysphagia and shortness of breath (n = 1), pneumonia (n = 2), tracheal deviation (n = 1), and one patient was asymptomatic. Vascular ring types included double aortic arch (n = 4) and right aortic arch with an aberrant left subclavian artery and a left ligamentum arteriosum (n = 9). Operating time was 70 ± 20 minutes (range: 46-122 minutes). One patient had to be opened because of a large arch. Length of stay was 1.9 ± 0.9 days (range: 1-3 days). There were no complications, and all patients improved clinically at follow-up. Thoracoscopic repair of certain types of vascular rings seems to be safe and effective in children. More patients, however, need to be studied.",
author = "Koontz, {Curt S.} and Amina Bhatia and Joe Forbess and Wulkan, {Mark L.}",
year = "2005",
language = "English (US)",
volume = "71",
pages = "289--291",
journal = "American Surgeon",
issn = "0003-1348",
publisher = "Southeastern Surgical Congress",
number = "4",

}

TY - JOUR

T1 - Video-assisted thoracoscopic division of vascular rings in pediatric patients

AU - Koontz, Curt S.

AU - Bhatia, Amina

AU - Forbess, Joe

AU - Wulkan, Mark L.

PY - 2005

Y1 - 2005

N2 - Vascular rings are usually repaired via left thoracotomy. We report our series of pediatric patients with vascular rings that were repaired thoracoscopically. From February 2002 to September 2004, 13 patients underwent video-assisted thoracoscopic surgical techniques (VATS) division of their vascular ring. Chest magnetic resonance arterography (MRA) and/or computed tomographic arteriography (CTA) were used to evaluate the vascular ring in most patients. Patients were chosen for VATS repair based on surgeon's choice and type of vascular ring. Data are expressed as mean ± SD. The Children's Healthcare of Atlanta Institutional Review Board approved this retrospective chart review. Age and weight was 1.5 ± 1.8 years (range: 4 months-17 years) and 16.0 ± 12.5 kg (range: 6.0-22.1 kg), respectively (n = 13). Associated diseases included congenital heart disease (n = 2). Symptoms included respiratory complaints (n = 6), dysphagia (n = 2), dysphagia and shortness of breath (n = 1), pneumonia (n = 2), tracheal deviation (n = 1), and one patient was asymptomatic. Vascular ring types included double aortic arch (n = 4) and right aortic arch with an aberrant left subclavian artery and a left ligamentum arteriosum (n = 9). Operating time was 70 ± 20 minutes (range: 46-122 minutes). One patient had to be opened because of a large arch. Length of stay was 1.9 ± 0.9 days (range: 1-3 days). There were no complications, and all patients improved clinically at follow-up. Thoracoscopic repair of certain types of vascular rings seems to be safe and effective in children. More patients, however, need to be studied.

AB - Vascular rings are usually repaired via left thoracotomy. We report our series of pediatric patients with vascular rings that were repaired thoracoscopically. From February 2002 to September 2004, 13 patients underwent video-assisted thoracoscopic surgical techniques (VATS) division of their vascular ring. Chest magnetic resonance arterography (MRA) and/or computed tomographic arteriography (CTA) were used to evaluate the vascular ring in most patients. Patients were chosen for VATS repair based on surgeon's choice and type of vascular ring. Data are expressed as mean ± SD. The Children's Healthcare of Atlanta Institutional Review Board approved this retrospective chart review. Age and weight was 1.5 ± 1.8 years (range: 4 months-17 years) and 16.0 ± 12.5 kg (range: 6.0-22.1 kg), respectively (n = 13). Associated diseases included congenital heart disease (n = 2). Symptoms included respiratory complaints (n = 6), dysphagia (n = 2), dysphagia and shortness of breath (n = 1), pneumonia (n = 2), tracheal deviation (n = 1), and one patient was asymptomatic. Vascular ring types included double aortic arch (n = 4) and right aortic arch with an aberrant left subclavian artery and a left ligamentum arteriosum (n = 9). Operating time was 70 ± 20 minutes (range: 46-122 minutes). One patient had to be opened because of a large arch. Length of stay was 1.9 ± 0.9 days (range: 1-3 days). There were no complications, and all patients improved clinically at follow-up. Thoracoscopic repair of certain types of vascular rings seems to be safe and effective in children. More patients, however, need to be studied.

UR - http://www.scopus.com/inward/record.url?scp=20444439176&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=20444439176&partnerID=8YFLogxK

M3 - Article

C2 - 15943400

AN - SCOPUS:20444439176

VL - 71

SP - 289

EP - 291

JO - American Surgeon

JF - American Surgeon

SN - 0003-1348

IS - 4

ER -