ldtЛучевая диагностика и терапияDiagnostic radiology and radiotherapy2079-5343Baltic Medical Education Center10.22328/2079-5343-2025-16-1-19-32ldt-1075Research ArticleЛЕКЦИИ И ОБЗОРЫLECTURES AND REVIEWSИзолированные сосудистые кольца в эпоху высоких показателей пренатальной диагностики: обзорIsolated vascular rings in an era of high prenatal diagnosis rates: a reviewhttps://orcid.org/0000-0003-2767-2221МалоземоваО. Г.MalozemovaO. G.

Малоземова Ольга Геннадьевна — врач ультразвуковой диагностики научно-консультативного отделения

119049, Москва, Ленинский пр., д. 8

Olga G. Malozemova — ultrasound diagnostics doctor of the scientific advisory department

 119049, Moscow, Leninsky Prospekt, 8

o.g.malozemova@gmail.comhttps://orcid.org/0000-0003-3318-1074ГасановаР. М.GasanovaR. M.

Гасанова Рена Мамедовна — доктор медицинских наук, заведующий перинатальным кардиологическим центром, врач-кардиолог, врач ультразвуковой диагностики

119049, Москва, Ленинский пр., д. 8

Rena M. Gasanova — Dr. of Sci. (Med.), Head of the Perinatal Cardiology Center, cardiologist, ultrasound diagnostics doctor 

119049, Moscow, Leninsky Prospekt, 8

rmgasanova@bakulev.ruНациональный медицинский исследовательский центр сердечно-сосудистой хирургии имени А. Н. БакулеваРоссияBakulev National Scientific and Practical Center for Cardiovascular SurgeryRussian Federation2025160420251611932Copyright © Малоземова О.Г., Гасанова Р.М., 20252025Малоземова О.Г., Гасанова Р.М.Malozemova O.G., Gasanova R.M.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://radiag.bmoc-spb.ru/jour/article/view/1075ВВЕДЕНИЕ

ВВЕДЕНИЕ: За последние десять лет успехи пренатальной диагностики привели к неуклонному росту числа новорожденных с изолированными сосудистыми кольцами (СК). Фетальная эхокардиография позволяет изменить «естественную историю» больных с  СК за  счет своевременной диагностики и  возможности более раннего хирургического вмешательства, вероятно, даже до клинической манифестации порока в определенных анатомических группах. Однако как лучше подходить к лечению и диагностике этой новой когорты пациентов, все еще остается неопределенным.

ЦЕЛЬ

ЦЕЛЬ: Оценить влияние пренатального диагноза на постнатальное ведение новорожденных с изолированными СК по данным имеющейся литературы.

МАТЕРИАЛЫ И  МЕТОДЫ

МАТЕРИАЛЫ И  МЕТОДЫ: Выполнен поиск литературы на  русском и  английском языках за  период с  2010 по  2023  г. в  базах данных Medline/PubMed, РИНЦ/Elibrary по  ключевым словам: пренатальная диагностика, сосудистое кольцо, двойная дуга аорты, правая дуга аорты, аберрантная подключичная артерия, дивертикул Коммерелля, новорожденный, хирургическое лечение, fetal echocardiography, newborn, vascular ring, double aortic arch, right aortic arch, aberrant subclavian artery, Kommerell’s diverticulum.

РЕЗУЛЬТАТЫ

РЕЗУЛЬТАТЫ: На современном этапе в национальных рекомендациях отсутствуют упоминания о сосудистых кольцах, то есть нет общепринятой клинико-диагностической тактики ведения пациентов с СК. Обзор настоящих данных поможет дать рекомендации относительно оптимального ведения новорожденных с пренатально диагностированными СК.

ЗАКЛЮЧЕНИЕ

ЗАКЛЮЧЕНИЕ: Достижения в  области визуализации плода дают возможность лучше понять анатомический спектр необструктивных аномалий дуги аорты, клинические проявления и потребность в хирургическом вмешательстве в формирующейся когорте пациентов. Накопление знаний и усовершенствование диагностических и лечебных возможностей диктуют необходимость анализа и переосмысления имеющихся на сегодняшний день научных сведений о целесообразности и методах постнатальной верификации диагноза, а также определения показаний к хирургическому лечению у современной популяции больных с СК с целью выбора оптимального подхода и улучшения ожидаемых результатов лечения.

INTRODUCTION

INTRODUCTION: Over the past ten years, advances in prenatal diagnosis have led to a steady increase in newborn patients with isolated vascular rings (VR). Fetal echocardiography allows us to change the natural history of patients with VR due to timely diagnosis and the possibility of earlier surgical intervention, probably even before the clinical manifestation of the defect in certain anatomical groups. However, how best to diagnose and treat these children remains uncertain.

OBJECTIVE

OBJECTIVE: To assess the impact of prenatal diagnosis on postnatal management of newborns with isolated VR according to the available literature.

MATERIALS AND METHODS

MATERIALS AND METHODS: A literature search was performed in Russian and English for the period from 2010 to 2023 in Medline/PubMed, RSCI/Elibrary databases by keywords: vascular ring, double aortic arch, right aortic arch, aberrant subclavian artery, Kommerell’s diverticulum, newborn, surgical treatment, fetal echocardiography.

RESULTS

RESULTS: At the present stage, there is no mention of vascular rings in national recommendations, that is, there is no generally accepted clinical and diagnostic tactics for managing patients with VR. A review of the present data will help provide recommendations regarding the optimal management of neonates with prenatally diagnosed VR.

CONCLUSION

CONCLUSION: Advances in fetal imaging provide an opportunity to better understand the anatomical spectrum of nonobstructive aortic arch anomalies, clinical presentation, and need for surgical intervention in an emerging cohort of patients. The accumulation of knowledge and improvement of diagnostic and treatment capabilities dictates the need to analyze and rethink the currently available scientific information on the feasibility and methods of postnatal diagnosis verification, as well as determining indications for surgical treatment in the modern population of patients with VR in order to select the optimal approach and improve the expected treatment results.

обзорфетальная эхокардиографияноворожденныйврожденный порок сердцасосудистое кольцодвойная дуга аортыправая дуга аортыreviewfetal echocardiographynewborncongenital heart diseasevascular ringdouble aortic archright aortic archReferencesБокерия Е.Л. Перинатальная кардиология: настоящее и будущее. Часть I: врожденные пороки сердца // Рос. вестн. перинатол. и педиатр. 2019. Т. 64, № 3. С. 5–10. doi: 10.21508/1027-4065-2019-64-3-5-10.Bockeria E.L. Perinatal cardiology: present and future. Part I: congenital heart defects. Ross. Vestn. perinatol and pediatrician, 2019, Vol. 64, No. 3, pp. 5– 10 (In Russ.). doi: 10.21508/1027-4065-2019-64-3-5-10.Evans W.N., Acherman R.J., Ciccolo M.L. et al. Vascular Ring Diagnosis and Management: Notable Trends Over 25 Years // World J. Pediatr. Congenit Heart Surg. 2016. Vol. 7. Р. 717–720. doi:10.1177/2150135116661279.Evans W.N., Acherman R.J., Ciccolo M.L. et al. Vascular Ring Diagnosis and Management: Notable Trends Over 25 Years // World J. Pediatr. Congenit Heart Surg. 2016. Vol. 7. Р. 717–720. doi:10.1177/2150135116661279.Stephens E.H., Eltayeb O., Kennedy C. et al. Influence of Fetal Diagnosis on Management of Vascular Rings // The Annals of thoracic surgery. 2022. Vol. 113, No. 2. Р. 630–636. https://doi.org/10.1016/j.athoracsur.2021.01.025.Stephens E.H., Eltayeb O., Kennedy C. et al. Influence of Fetal Diagnosis on Management of Vascular Rings // The Annals of thoracic surgery. 2022. Vol. 113, No. 2. Р. 630–636. https://doi.org/10.1016/j.athoracsur.2021.01.025.Young A.A., Hornberger L.K., Haberer K. et al. Prenatal Detection, Comorbidities, and Management of Vascular Rings // Amer. J. Сardiol. 2019. Vol. 123, No. 10. Р. 1703–1708. https://doi.org/10.1016/j.amjcard.2019.02.030.Young A.A., Hornberger L.K., Haberer K. et al. Prenatal Detection, Comorbidities, and Management of Vascular Rings // Amer. J. Сardiol. 2019. Vol. 123, No. 10. Р. 1703–1708. https://doi.org/10.1016/j.amjcard.2019.02.030.Yoshimura N., Fukahara K., Yamashita A. et al. Congenital vascular ring // Surg. Today. 2020. Vol. 50, No. 10. Р. 1151–1118. doi: 10.1007/s00595-019-01907-5.Yoshimura N., Fukahara K., Yamashita A. et al. Congenital vascular ring // Surg. Today. 2020. Vol. 50, No. 10. Р. 1151–1118. doi: 10.1007/s00595-019-01907-5.Kellenberger C.J. Aortic arch malformations // Pediatr. Radiol. 2010. Vol. 40. Р. 876–884; doi: 10.1007/s00247-010-1607-9.Kellenberger C.J. Aortic arch malformations // Pediatr. Radiol. 2010. Vol. 40. Р. 876–884; doi: 10.1007/s00247-010-1607-9.Guron N., Oechslin E. Congenital Aortic Arch Anomalies: Lessons Learned and to Learn! // Canad. J. Сardiol. 2019. Vol. 35, No. 4. Р. 373–375. https://doi.org/10.1016/j.cjca.2019.01.011.Guron N., Oechslin E. Congenital Aortic Arch Anomalies: Lessons Learned and to Learn! // Canad. J. Сardiol. 2019. Vol. 35, No. 4. Р. 373–375. https://doi.org/10.1016/j.cjca.2019.01.011.Kau T., Sinzig M., Gasser J., Lesnik G., Rabitsch E., Celedin S., Eicher W., Illiasch H., Hausegger KA. Aortic development and anomalies // Semin Intervent Radiol. 2007. Jun; Vol. 24, No. 2. Р. 141–152. doi: 10.1055/s-2007–980040.Kau T., Sinzig M., Gasser J., Lesnik G., Rabitsch E., Celedin S., Eicher W., Illiasch H., Hausegger KA. Aortic development and anomalies // Semin Intervent Radiol. 2007. Jun; Vol. 24, No. 2. Р. 141–152. doi: 10.1055/s-2007–980040.Edwards J.E. Anomalies of the derivatives of the aortic arch system // Med. Clin. North Am. 1948. 32. Р. 925–949.Edwards J.E. Anomalies of the derivatives of the aortic arch system // Med. Clin. North Am. 1948. 32. Р. 925–949.Edwards J.E. Malformations of the aortic arch system manifested as vascular rings // Lab. Invest. 1953. Vol. 2. Р. 56–75.Edwards J.E. Malformations of the aortic arch system manifested as vascular rings // Lab. Invest. 1953. Vol. 2. Р. 56–75.Garti I.J., Aygen M.M., Vidne B. et al. Right aortic arch with mirror-image branching causing vascular ring. A new classification of the right aortic arch patterns // Br. J. Radiol. 1973. Vol. 46. Р. 115–119.Garti I.J., Aygen M.M., Vidne B. et al. Right aortic arch with mirror-image branching causing vascular ring. A new classification of the right aortic arch patterns // Br. J. Radiol. 1973. Vol. 46. Р. 115–119.Schlesinger A.E., Mendeloff E., Sharkey A.M. et al. MR of right aortic arch with mirror-image branching and a left ligamentum arteriosum: an unusual cause of a vascular ring // Pediatr. Radiol. 1995. Vol. 25. Р. 455–457.Schlesinger A.E., Mendeloff E., Sharkey A.M. et al. MR of right aortic arch with mirror-image branching and a left ligamentum arteriosum: an unusual cause of a vascular ring // Pediatr. Radiol. 1995. Vol. 25. Р. 455–457.Zachary C.H., Myers J.L., Eggli K.D. Vascular ring due to right aortic arch with mirror-image branching and left ligamentum arteriosus: complete preoperative diagnosis by magnetic reso- nance imaging // Pediatr. Cardiol. 2001. Vol. 22. Р. 71–73.Zachary C.H., Myers J.L., Eggli K.D. Vascular ring due to right aortic arch with mirror-image branching and left ligamentum arteriosus: complete preoperative diagnosis by magnetic reso- nance imaging // Pediatr. Cardiol. 2001. Vol. 22. Р. 71–73.Priya S., Nagpal P. Atretic double aortic arch: imaging appearance of a rare anomaly and differentiation from its mimics // Cureus. 2020. Vol. 12, Nо. 7. Article ID e9478. doi: https://doi.org/10.7759/cureus.9478.Priya S., Nagpal P. Atretic double aortic arch: imaging appearance of a rare anomaly and differentiation from its mimics // Cureus. 2020. Vol. 12, Nо. 7. Article ID e9478. doi: https://doi.org/10.7759/cureus.9478.Backer C.L., Popescu A.R., Rastatter J.C. et al. Pediatric and Congenital Cardiology, Cardiac Surgery and Intensive Care. Springer, London. 2014. https://doi.org/10.1007/978-1-4471-4619-3_236.Backer C.L., Popescu A.R., Rastatter J.C. et al. Pediatric and Congenital Cardiology, Cardiac Surgery and Intensive Care. Springer, London. 2014. https://doi.org/10.1007/978-1-4471-4619-3_236.Vigneswaran T.V., Van Poppel M.P., Griffiths B. et al. Postnatal impact of a prenatally diagnosed double aortic arch // Archives of disease in childhood. 2021. Vol. 106, No. 6. Р. 564–569. https://doi.org/10.1136/archdischild-2020-318946.Vigneswaran T.V., Van Poppel M.P., Griffiths B. et al. Postnatal impact of a prenatally diagnosed double aortic arch // Archives of disease in childhood. 2021. Vol. 106, No. 6. Р. 564–569. https://doi.org/10.1136/archdischild-2020-318946.Leonardi B., Secinaro A., Cutrera R. et al. Imaging modalities in children with vascular ring and pulmonary artery sling // Pediatric pulmonology. 2015. Vol. 50, No. 8. Р. 781–788. https://doi.org/10.1002/ppul.23075.Leonardi B., Secinaro A., Cutrera R. et al. Imaging modalities in children with vascular ring and pulmonary artery sling // Pediatric pulmonology. 2015. Vol. 50, No. 8. Р. 781–788. https://doi.org/10.1002/ppul.23075.Shum D.J., Clifton M.S., Coakley F.V. et al. Prenatal tracheal obstruction due to double aortic arch: a potential mimic of congenital high airway obstruction syndrome // AJR Am. J. Roentgenol. 2007. Vol. 188, Nо. 1. P. 82–85. doi: https://doi.org/10.2214/AJR.05.0356.Shum D.J., Clifton M.S., Coakley F.V. et al. Prenatal tracheal obstruction due to double aortic arch: a potential mimic of congenital high airway obstruction syndrome // AJR Am. J. Roentgenol. 2007. Vol. 188, Nо. 1. P. 82–85. doi: https://doi.org/10.2214/AJR.05.0356.Biermann D., Holst T., Huners I., Rickers C., Kehl T., Ruffer A et al. Right aortic arch forming a true vascular ring: a clinical review // Eur. J. Cardiothorac. Surg. 2021. doi: 10.1093/ejcts/ezab225.Biermann D., Holst T., Huners I., Rickers C., Kehl T., Ruffer A et al. Right aortic arch forming a true vascular ring: a clinical review // Eur. J. Cardiothorac. Surg. 2021. doi: 10.1093/ejcts/ezab225.D’Antonio F., Khalil A., Zidere V., Carvalho J.S. Fetuses with right aortic arch: a multicenter cohort study and meta-analysis // Ultrasound. Obstet Gynecol. 2016. Vol. 47. Р. 423–432.D’Antonio F., Khalil A., Zidere V., Carvalho J.S. Fetuses with right aortic arch: a multicenter cohort study and meta-analysis // Ultrasound. Obstet Gynecol. 2016. Vol. 47. Р. 423–432.Kouchoukos N.T., Masetti P. Aberrant subclavian artery and Kommerell aneurysm: surgical treatment with a standard approach // J. Thorac. Cardiovasc. Surg. 2007. Vol. 133. Р. 888–892.Kouchoukos N.T., Masetti P. Aberrant subclavian artery and Kommerell aneurysm: surgical treatment with a standard approach // J. Thorac. Cardiovasc. Surg. 2007. Vol. 133. Р. 888–892.Evans W.N., Acherman R.J., Ciccolo M.L. et al. Isolated vascular rings in the era of high prenatal detection rates: Demographics, diagnosis, risk factors, and outcome // J. Card. Surg. 2021. Vol. 36. Р. 1381–1388. https://doi.org/10.1111/jocs.15414.Evans W.N., Acherman R.J., Ciccolo M.L. et al. Isolated vascular rings in the era of high prenatal detection rates: Demographics, diagnosis, risk factors, and outcome // J. Card. Surg. 2021. Vol. 36. Р. 1381–1388. https://doi.org/10.1111/jocs.15414.Van der Linde D., Konings E.E.M., Slager M.A., Witsenburg M., Helbing W.A., Takkenberg J.J. M., Roos-Hesselink J.W. Birth Prevalence of Congenital Heart Disease Worldwide // Journal of the American College of Cardiology. 2011. Vol. 58, No. 21. Р. 2241–2247. doi: 10.1016/j.jacc.2011.08.021.Van der Linde D., Konings E.E.M., Slager M.A., Witsenburg M., Helbing W.A., Takkenberg J.J. M., Roos-Hesselink J.W. Birth Prevalence of Congenital Heart Disease Worldwide // Journal of the American College of Cardiology. 2011. Vol. 58, No. 21. Р. 2241–2247. doi: 10.1016/j.jacc.2011.08.021.ISUOG Practice Guidelines: role of ultrasound in twin pregnancy // Ultrasound in Obstetrics & Gynecology. 2016. Vol. 47. Р. 247–263.ISUOG Practice Guidelines: role of ultrasound in twin pregnancy // Ultrasound in Obstetrics & Gynecology. 2016. Vol. 47. Р. 247–263.Медведев М.В., Новикова И.В. Врожденные пороки сердца: пренатальная диагностика и патоморфология. М.: Реал Тайм, 2022. С. 501–516.Medvedev M.V., Novikova I.V. Congenital heart defects: prenatal diagnosis and pathomorphology. Moscow: Publishing house Real Time, 2022, pp. 501–516 (In Russ.)Achiron R.R., Kassif E., Gilboa Y., Salem Y., Jakobson Y., Raviv-Zilka L., Kivilevitch Z. Congenital Aortic Vascular Ring: In-Utero Sonographic Assessment of Tracheal Patency and Postnatal Outcome. Kongenitaler Aorten-Gefäßring: Sonografische Beurteilung der Trache-Durchgängigkeit in utero und postnataler Outcome // Ultraschall in der Medizin (Stuttgart, Germany: 1980). 2022. Vol. 43, No. 6. e112–e117. https://doi.org/10.1055/a-1283-6051.Achiron R.R., Kassif E., Gilboa Y., Salem Y., Jakobson Y., Raviv-Zilka L., Kivilevitch Z. Congenital Aortic Vascular Ring: In-Utero Sonographic Assessment of Tracheal Patency and Postnatal Outcome. Kongenitaler Aorten-Gefäßring: Sonografische Beurteilung der Trache-Durchgängigkeit in utero und postnataler Outcome // Ultraschall in der Medizin (Stuttgart, Germany: 1980). 2022. Vol. 43, No. 6. e112–e117. https://doi.org/10.1055/a-1283-6051.Yin X., Liu Y., Wu L-H. et al. Evaluation of the trachea in fetuses with double aortic arch using prenatal ultrasound: a retrospective cohort study // Am. J. Obstet Gynecol MFM. 2023. Vol. 5. 100759. https://doi.org/10.1016/j.ajogmf.2022.100759.Yin X., Liu Y., Wu L-H. et al. Evaluation of the trachea in fetuses with double aortic arch using prenatal ultrasound: a retrospective cohort study // Am. J. Obstet Gynecol MFM. 2023. Vol. 5. 100759. https://doi.org/10.1016/j.ajogmf.2022.100759.Kudose S., Pineda J., Saito J.M., Dehner L.P. Aberrant Right Subclavian Artery-Esophageal Fistula in 20-Year-Old with VATER Association // Journal of pediatric intensive care. 2017. Vol. 6, No. 2. Р. 127–131. https://doi.org/10.1055/s-0036-1584812.Kudose S., Pineda J., Saito J.M., Dehner L.P. Aberrant Right Subclavian Artery-Esophageal Fistula in 20-Year-Old with VATER Association // Journal of pediatric intensive care. 2017. Vol. 6, No. 2. Р. 127–131. https://doi.org/10.1055/s-0036-1584812.Бартагова М.Н., Бокерия Е.Л., Гасанова Р.М., Марзоева О.В., Сыпченко Е.В., Леонова Е.И. Новые методологическое подходы в ультразвуковой диагностике патологии дуги аорты у плода. Часть 3 // Детские болезни сердца и сосудов. 2019. Т. 16, № 4. С. 238–246. doi: 10.24022/1810-0686-2019-16-4-238-246.Bartagova M.N., Bockeria E.L., Gasanova R.M., Marzoeva O.V., Sypchenko E.V., Leonova E.I. New methodological approaches in ultrasound diagnosis of fetal aortic arch pathology. Part 3. Children’s heart and vascular diseases, 2019, Vol. 16, No. 4, pp. 238–246 (In Russ.). doi: 10.24022/1810-0686-2019-16-4-238-246.Swarnkar P., Speggiorin S., Austin B.C., Nyman A., Salih C., Zidere V. et al. Contemporary surgical outcome and symptomatic relief following vascular ring surgery in children: effect of prenatal diagnosis // Eur. J. Cardiothorac. Surg. 2022. Vol. 61. Р. 1260–1268.Swarnkar P., Speggiorin S., Austin B.C., Nyman A., Salih C., Zidere V. et al. Contemporary surgical outcome and symptomatic relief following vascular ring surgery in children: effect of prenatal diagnosis // Eur. J. Cardiothorac. Surg. 2022. Vol. 61. Р. 1260–1268.Hanneman K., Newman B., Chan F. Congenital Variants and Anomalies of the Aortic Arch. // Radiographics: a review publication of the Radiological Society of North America, Inc. 2017. Vol. 37, No. 1. Р. 32–51. https://doi.org/10.1148/rg.2017160033.Hanneman K., Newman B., Chan F. Congenital Variants and Anomalies of the Aortic Arch. // Radiographics: a review publication of the Radiological Society of North America, Inc. 2017. Vol. 37, No. 1. Р. 32–51. https://doi.org/10.1148/rg.2017160033.Soleimantabar H., Sabouri S., Khedmat L., Salajeghe S., Memari B., Heshmat Ghahderijani B. Assessment of CT angiographic findings in comparison with echocardiography findings of chest among patients with aortic arch anomalies // Monaldi Archives for Chest Disease. 2019. Vol. 89, No. 3. doi: 10.4081/monaldi.2019.1120.Soleimantabar H., Sabouri S., Khedmat L., Salajeghe S., Memari B., Heshmat Ghahderijani B. Assessment of CT angiographic findings in comparison with echocardiography findings of chest among patients with aortic arch anomalies // Monaldi Archives for Chest Disease. 2019. Vol. 89, No. 3. doi: 10.4081/monaldi.2019.1120.Малоземова О.Г., Гасанова Р.М., Медведева И.Б. и др. Трансторакальная эхокардиография двойной дуги аорты у новорожденного // Неонатология: новости, мнения, обучение. 2022. Т. 10, № 2 (36). С. 43–49. doi: 10.33029/2308-2402-2022-10-2-43-49.Malozemova O.G., Gasanova R.M., Medvedeva I.B. еt al. Transthoracic echocardiography of the double aortic arch in a newborn. Neonatology: news, opinions, training, 2022, Vol. 10, No. 2 (36), pp. 43–49 (In Russ.)]. doi: 10.33029/2308-2402-2022-10-2-43-49.Mądry W., Zacharska-Kokot E., Karolczak M.A. Methodology of echocardiographic analysis of morphological variations of the aortic arch and its branches in children — own experience // Journal of ultrasonography. 2019. Vol. 19, No. 76. Р. 24–42. https://doi.org/10.15557/JoU.2019.0004.Mądry W., Zacharska-Kokot E., Karolczak M.A. Methodology of echocardiographic analysis of morphological variations of the aortic arch and its branches in children — own experience // Journal of ultrasonography. 2019. Vol. 19, No. 76. Р. 24–42. https://doi.org/10.15557/JoU.2019.0004.He X., Chen J., Li G. Study on the views and methods of ultrasonic screening and diagnosis for abnormal aortic arch in infants // Cardiovasc Ultrasound. 2021. Vol. 19, No. 8. https://doi.org/10.1186/s12947-021-00237-2.He X., Chen J., Li G. Study on the views and methods of ultrasonic screening and diagnosis for abnormal aortic arch in infants // Cardiovasc Ultrasound. 2021. Vol. 19, No. 8. https://doi.org/10.1186/s12947-021-00237-2.Захарова О.Е., Плахова В.В. Эхокардиография для решения кардиохирургических задач у новорожденных и детей раннего возраста с аномалиями дуги аорты и брахиоцефальных сосудов // Грудная и сердечно-сосудистая хирургия. 2019. № 1. C. 14–20. doi: https://doi.org/10.24022/0236-2791-2019-61-1-14-208.Zakharova O.E., Plakhova V.V. Echocardiography for solving cardiac surgical problems in newborns and young children with anomalies of the aortic arch and brachiocephalic vessels. Thoracic and cardiovascular surgery, 2019, No. 1, pp. 14–20 (In Russ.). doi: https://doi.org/10.24022/0236-2791-2019-61-1-14-208.Schooler G.R., Cravero J.P., Callahan M.J. Assessing and conveying risks and benefits of imaging in neonates using ionizing radiation and sedation/anesthesia // Pediatr. Radiol. 2022. Vol. 52. Р. 616–621. https://doi.org/10.1007/s00247-021-05138-0.Schooler G.R., Cravero J.P., Callahan M.J. Assessing and conveying risks and benefits of imaging in neonates using ionizing radiation and sedation/anesthesia // Pediatr. Radiol. 2022. Vol. 52. Р. 616–621. https://doi.org/10.1007/s00247-021-05138-0.Brenner D., Elliston C., Hall E., Berdon W. Estimated risks of radiation-induced fatal cancer from pediatric CT // AJR. American journal of roentgenology. 2001. Vol. 176, No. 2. Р. 289–296. https://doi.org/10.2214/ajr.176.2.1760289.Brenner D., Elliston C., Hall E., Berdon W. Estimated risks of radiation-induced fatal cancer from pediatric CT // AJR. American journal of roentgenology. 2001. Vol. 176, No. 2. Р. 289–296. https://doi.org/10.2214/ajr.176.2.1760289.Pearce M.S., Salotti J.A., Little M.P., McHugh K., Lee C., Kim K.P., Howe N.L., Ronckers C.M., Rajaraman P., Sir Craft A.W., Parker L., Berrington de González A. Radiation exposure from CT scans in childhood and subsequent risk of leukaemia and brain tumours: a retrospective cohort study // Lancet (London, England). 2012. Vol. 380, No. 9840. Р. 499–505. https://doi.org/10.1016/S0140-6736(12)60815-0.Pearce M.S., Salotti J.A., Little M.P., McHugh K., Lee C., Kim K.P., Howe N.L., Ronckers C.M., Rajaraman P., Sir Craft A.W., Parker L., Berrington de González A. Radiation exposure from CT scans in childhood and subsequent risk of leukaemia and brain tumours: a retrospective cohort study // Lancet (London, England). 2012. Vol. 380, No. 9840. Р. 499–505. https://doi.org/10.1016/S0140-6736(12)60815-0.Templeton L.B., Norton M.J., Goenaga‐Díaz E.J., McLaughlin D.H., Zpadka M.E., Templeton T.W. Experience with a «Feed and Swaddle» program in infants up to six months of age // Acta Anaesthesiologica Scandinavica. 2019. doi: 10.1111/aas.1347.Templeton L.B., Norton M.J., Goenaga‐Díaz E.J., McLaughlin D.H., Zpadka M.E., Templeton T.W. Experience with a «Feed and Swaddle» program in infants up to six months of age // Acta Anaesthesiologica Scandinavica. 2019. doi: 10.1111/aas.1347.Foge M.A., Pawlowski T.W., Harris M.A., Whitehead K.K., Keller M.S., Wilson J., Tipton D., Harris C. Comparison and usefulness of cardiac magnetic resonance versus computed tomography in infants six months of age or younger with aortic arch anomalies without deep sedation or anesthesia // Amer. J. Сardiol. 2011. Vol. 108, No. 1. Р. 120–125. https://doi.org/10.1016/j.amjcard.2011.03.008.Foge M.A., Pawlowski T.W., Harris M.A., Whitehead K.K., Keller M.S., Wilson J., Tipton D., Harris C. Comparison and usefulness of cardiac magnetic resonance versus computed tomography in infants six months of age or younger with aortic arch anomalies without deep sedation or anesthesia // Amer. J. Сardiol. 2011. Vol. 108, No. 1. Р. 120–125. https://doi.org/10.1016/j.amjcard.2011.03.008.Buratto E., Konstantinov I.E. Prenatal Diagnosis of Vascular Rings: Knowledge Is Power… or Is It? // The Annals of thoracic surgery. 2022. Vol. 113, No. 2. Р. 636– 637. https://doi.org/10.1016/j.athoracsur.2021.01.068.Buratto E., Konstantinov I.E. Prenatal Diagnosis of Vascular Rings: Knowledge Is Power… or Is It? // The Annals of thoracic surgery. 2022. Vol. 113, No. 2. Р. 636– 637. https://doi.org/10.1016/j.athoracsur.2021.01.068.Backer C.L., Mongé M.C., Popescu A.R., Eltayeb O.M., Rastatter J.C., Rigsby C.K. Vascular rings // Seminars in pediatric surgery. 2016. Vol. 25, No. 3. Р. 165– 175. https://doi.org/10.1053/j.sempedsurg.2016.02.009.Backer C.L., Mongé M.C., Popescu A.R., Eltayeb O.M., Rastatter J.C., Rigsby C.K. Vascular rings // Seminars in pediatric surgery. 2016. Vol. 25, No. 3. Р. 165– 175. https://doi.org/10.1053/j.sempedsurg.2016.02.009.Loomba R.S. Natural history of asymptomatic and unrepaired vascular rings: is watchful waiting a viable option? A new case and review of previously reported cases // Children (Basel). 2016. Vol. 3. Р. 44.Loomba R.S. Natural history of asymptomatic and unrepaired vascular rings: is watchful waiting a viable option? A new case and review of previously reported cases // Children (Basel). 2016. Vol. 3. Р. 44.Depypere A., Proesmans M., Cools B., Vermeulen F., Daenen W., Meyns B. et al. The long-term outcome of an isolated vascular ring — a single-center experience // Pediatr. Pulmonol. 2019. Vol. 54. Р. 2028–2034.Depypere A., Proesmans M., Cools B., Vermeulen F., Daenen W., Meyns B. et al. The long-term outcome of an isolated vascular ring — a single-center experience // Pediatr. Pulmonol. 2019. Vol. 54. Р. 2028–2034.Said S.M., Marey G., Knutson S., Rodgers N., Richtsfeld M., Joy B., Griselli M. Outcomes of Surgical Repair of Vascular Rings and Slings in Children: A Word for the Asymptomatic // Seminars in thoracic and cardiovascular surgery. 2021. Vol. 33, No. 2. Р. 492–500. https://doi.org/10.1053/j.semtcvs.2020.09.013.Said S.M., Marey G., Knutson S., Rodgers N., Richtsfeld M., Joy B., Griselli M. Outcomes of Surgical Repair of Vascular Rings and Slings in Children: A Word for the Asymptomatic // Seminars in thoracic and cardiovascular surgery. 2021. Vol. 33, No. 2. Р. 492–500. https://doi.org/10.1053/j.semtcvs.2020.09.013.Tuo G., Volpe P., Bava G.L., Bondanza S., De Robertis V., Pongiglione G., Marasini M. Prenatal diagnosis and outcome of isolated vascular rings // Amer. J. Cardiol. 2009. Vol. 103, No. 3. Р. 416–419. https://doi.org/10.1016/j.amjcard.2008.09.100.Tuo G., Volpe P., Bava G.L., Bondanza S., De Robertis V., Pongiglione G., Marasini M. Prenatal diagnosis and outcome of isolated vascular rings // Amer. J. Cardiol. 2009. Vol. 103, No. 3. Р. 416–419. https://doi.org/10.1016/j.amjcard.2008.09.100.Vigneswaran T.V., Kapravelou E., Bell A.J., Nyman A., Pushparajah K., Simpson J.M., Durward A., Zidere V. Correlation of Symptoms with Bronchoscopic Findings in Children with a Prenatal Diagnosis of a Right Aortic Arch and Left Arterial Duct // Pediatric cardiology. 2018. Vol. 39, No. 4. Р. 665–673. https://doi.org/10.1007/s00246-017-1804-5.Vigneswaran T.V., Kapravelou E., Bell A.J., Nyman A., Pushparajah K., Simpson J.M., Durward A., Zidere V. Correlation of Symptoms with Bronchoscopic Findings in Children with a Prenatal Diagnosis of a Right Aortic Arch and Left Arterial Duct // Pediatric cardiology. 2018. Vol. 39, No. 4. Р. 665–673. https://doi.org/10.1007/s00246-017-1804-5.

The authors declare that there are no conflicts of interest present.