{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T20:21:23Z","timestamp":1768422083951,"version":"3.49.0"},"reference-count":15,"publisher":"MDPI AG","issue":"16","license":[{"start":{"date-parts":[[2024,8,10]],"date-time":"2024-08-10T00:00:00Z","timestamp":1723248000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diagnostics"],"abstract":"<jats:p>Vascular rings are a rare congenital anomaly of the aortic arch, in which a ring-shaped structure forms, surrounding the trachea and\/or esophagus, potentially causing compression. We describe the case of a 14-month-old female patient with failure to thrive secondary to dysphagia, and a vascular ring formed by a right aortic arch, an aberrant left subclavian artery, and a left ligamentum arteriosum. Surgical repair involved ligamentum arteriosum division, Kommerell\u2019s diverticulum obliteration, and left subclavian artery re-implantation into the left carotid artery. Endoscopy and EndoFLIPTM evaluated the intraoperative improvement in esophageal narrowing and impedance, respectively. The postoperative period was uneventful, and follow-up visits demonstrated dysphagia resolution and a patent re-implanted left subclavian artery.<\/jats:p>","DOI":"10.3390\/diagnostics14161736","type":"journal-article","created":{"date-parts":[[2024,8,12]],"date-time":"2024-08-12T05:19:38Z","timestamp":1723439978000},"page":"1736","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Vascular Ring Surgical Repair: Re-Implantation of the Left Subclavian Artery into the Left Carotid Artery in a Pediatric Patient"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-0068-6601","authenticated-orcid":false,"given":"Mar\u00eda Alejandra","family":"Rodr\u00edguez Brilla","sequence":"first","affiliation":[{"name":"Division of Cardio-Thoracic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine at Christus Children\u2019s Hospital of San Antonio, San Antonio, TX 78207, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kevin Daniel","family":"Kausen","sequence":"additional","affiliation":[{"name":"Division of Cardio-Thoracic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine at Christus Children\u2019s Hospital of San Antonio, San Antonio, TX 78207, USA"},{"name":"School of Osteopathic Medicine, University of the Incarnate Word, San Antonio, TX 78235, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aboozar T.","family":"Ali","sequence":"additional","affiliation":[{"name":"Division of Cardio-Thoracic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine at Christus Children\u2019s Hospital of San Antonio, San Antonio, TX 78207, USA"},{"name":"School of Osteopathic Medicine, University of the Incarnate Word, San Antonio, TX 78235, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Govinda","family":"Paudel","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology, Baylor College of Medicine at Christus Children\u2019s Hospital of San Antonio, San Antonio, TX 78207, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Victor","family":"Bautista-Hernandez","sequence":"additional","affiliation":[{"name":"Division of Cardio-Thoracic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine at Christus Children\u2019s Hospital of San Antonio, San Antonio, TX 78207, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2024,8,10]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1151","DOI":"10.1007\/s00595-019-01907-5","article-title":"Congenital vascular ring","volume":"50","author":"Yoshimura","year":"2020","journal-title":"Surg. Today"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"151128","DOI":"10.1016\/j.sempedsurg.2021.151128","article-title":"Vascular rings","volume":"30","author":"Worhunsky","year":"2021","journal-title":"Semin. Pediatr. Surg."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"1976","DOI":"10.1016\/j.jpedsurg.2017.12.022","article-title":"Vascular ring: Early and long-term mortality and morbidity after surgical repair","volume":"53","author":"Schmidt","year":"2018","journal-title":"J. Pediatr. Surg."},{"key":"ref_4","first-page":"e24623","article-title":"Feeding Difficulties Following Vascular Ring Repair: A Contemporary Narrative Review","volume":"14","author":"Fisenne","year":"2022","journal-title":"Cureus"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"566","DOI":"10.1016\/j.athoracsur.2019.06.076","article-title":"Contemporary Midterm Outcomes in Pediatric Patients Undergoing Vascular Ring Repair","volume":"109","author":"Binsalamah","year":"2020","journal-title":"Ann. Thorac. Surg."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"S308","DOI":"10.1016\/S0003-4975(99)01279-5","article-title":"Congenital heart surgery nomenclature and database project: Vascular rings, tracheal stenosis, pectus excavatum","volume":"69","author":"Backer","year":"2000","journal-title":"Ann. Thorac. Surg."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1014","DOI":"10.1093\/ejcts\/ezab225","article-title":"Right aortic arch forming a true vascular ring: A clinical review","volume":"60","author":"Biermann","year":"2021","journal-title":"Eur. J. Cardiothorac. Surg."},{"key":"ref_8","doi-asserted-by":"crossref","unstructured":"Zhou, Y., Zhou, Y., Yu, T., Li, W., Zhang, J., and Zhang, C. (2023). Vascular ring: Prenatal diagnosis and prognostic management based on sequential cross-sectional scanning by ultrasound. BMC Pregnancy Childbirth, 23.","DOI":"10.1186\/s12884-023-05637-y"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"64","DOI":"10.1016\/S1010-7940(02)00213-0","article-title":"Resection of Kommerell\u2019s diverticulum and left subclavian artery transfer for recurrent symptoms after vascular ring division","volume":"22","author":"Backer","year":"2002","journal-title":"Eur. J. Cardiothorac. Surg."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"605","DOI":"10.1093\/ejcts\/ezab432","article-title":"Long-term outcomes in children undergoing vascular ring division: A multi-institution experience","volume":"61","author":"Yu","year":"2022","journal-title":"Eur. J. Cardiothorac. Surg."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"1294","DOI":"10.1007\/s00464-019-06898-5","article-title":"Utility of functional lumen imaging probe in esophageal measurements and dilations: A single pediatric center experience","volume":"34","author":"Ng","year":"2020","journal-title":"Surg. Endosc."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1016\/j.avsg.2021.04.036","article-title":"A Ten-year Single-center Surgical Experience with Symptomatic Complete Vascular Rings","volume":"78","author":"Charbonneau","year":"2022","journal-title":"Ann. Vasc. Surg."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1177\/21501351231194256","article-title":"Association and Repair of Right Aortic Arch with Aberrant Left Subclavian Artery with Subclavian Stenosis","volume":"15","author":"Cheong","year":"2024","journal-title":"World J. Pediatr. Congenit. Heart Surg."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"1339","DOI":"10.1016\/j.jtcvs.2004.10.044","article-title":"Trends in vascular ring surgery","volume":"129","author":"Backer","year":"2005","journal-title":"J. Thorac. Cardiovasc. Surg."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1007\/s11748-015-0521-3","article-title":"Kommerell\u2019s diverticulum in the current era: A comprehensive review","volume":"63","author":"Tanaka","year":"2015","journal-title":"Gen. Thorac. Cardiovasc. 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