Isolated Vascular Rings Are Common Cardiovascular Malformations

Author:

Evans William N.12,Acherman Ruben J.12,Ciccolo Michael L.13,Lehoux Juan1,Berthoty Dean4,Montes Arthur4,Mayman Gary A.12,Restrepo Humberto12ORCID

Affiliation:

1. Congenital Heart Center Nevada, Las Vegas, NV, USA

2. Department of Pediatrics, Division of Pediatric Cardiology, Kirk Kerkorian School of Medicine at the University of Nevada Las Vegas, Las Vegas, NV, USA

3. Department of Surgery, Kirk Kerkorian School of Medicine at the University of Nevada Las Vegas, Las Vegas, NV, USA

4. Sunrise Children's Hospital, Department of Radiology, Las Vegas, NV, USA

Abstract

Objective We investigated the prevalence of isolated vascular rings in the general population of Southern Nevada. Methods We identified those prenatally and postnatally diagnosed with an isolated vascular ring between January 2014 and December 2021. We included only those with vascular or ligamentous structures completely encircling the trachea and esophagus. To investigate the prevalence of isolated vascular rings, we included only those with situs solitus, levocardia, and no significant intracardiac malformations. Results We identified 112 patients. Of the 112, 66 (59%) were female. There were approximately 211,000 total live births in Southern Nevada for the study period, for an overall prevalence of 5.3 isolated vascular rings per 10 000 live births. However, for the years 2014 to 2017, the average prevalence figure was 3.5 per 10 000 live births, and for the years 2018 to 2021, the average prevalence figure was 7.1 (range 6.5-8.0) per 10 000 live births. Simultaneously, the prenatal detection rate rose from 66% to 86%. Conclusions Isolated vascular rings are common cardiovascular malformations. As prenatal detection rates in the Southern Nevada general population approach 90%, the prevalence figures for isolated vascular rings appear to asymptote at about 7 per 10 000 live births.

Publisher

SAGE Publications

Subject

Cardiology and Cardiovascular Medicine,General Medicine,Pediatrics, Perinatology and Child Health,Surgery

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