Cosío-Lima L, Ríos-Reina JL, Peralta-Gallo GJ, Cosío-Pascal M

Idioma: Español
Referencias bibliográficas: 54
Paginas: 76-84
Archivo PDF: 758.83 Kb.

RESUMEN

Los anillos vasculares son estructuras anómalas capaces de comprimir tráquea/esófago y constituyen el 1% de las malformaciones congénitas cardiovasculares. Se dividen en anillos completos e incompletos, conociéndose a estos últimos como slings. Se calcula que el arco aórtico derecho con subclavia izquierda aberrante tiene una incidencia en la población entre 0.06 y 0.1%. Aproximadamente el 60% de los portadores son asintomáticos. Se llegan a identificar como hallazgo durante estudios de imagenología, en el transcurso de cirugías de corazón, o bien, son encontrados incidentalmente en autopsias. El síntoma que originan con mayor frecuencia es la disfagia, que puede progresar hasta la afagia. Las manifestaciones respiratorias son más comunes en niños debido a la falta de rigidez de la tráquea. A pesar de su bajísima incidencia, es conveniente tener en mente estas patologías como posibilidad diagnóstica en pacientes multitratados sin éxito por problemas gastroesofágicos, respiratorios o ambos. El propósito del presente artículo es revisar la literatura actualizada, así como la presentación de un caso clínico.

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