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An unusual presentation of isolation of the right subclavian artery

Published online by Cambridge University Press:  19 August 2008

Julian A. Smith
Affiliation:
From the Department of Cardiothoracic Surgery, Stanford University Medical Center, Stanford
Michael J. Hirschklau
Affiliation:
Department of Pediatric Cardiology, Santa Clara Valley Medical Center, San José
Bruce A. Reitz*
Affiliation:
From the Department of Cardiothoracic Surgery, Stanford University Medical Center, Stanford
*
Dr. Bruce A. Reitz, Department of Cardiothoracic Surgery, Stanford University Medical Center, Stanford, California, 94305-5247, USA. Tel. (415) 723-5771; Fax. (415) 725-3846.

Summary

Isolation of the right subclavian artery from the aortic arch is a rare malformation. When isolated, the artery originates from the right pulmonary artery via a right-sided arterial duct, which may be patent or closed at the time of presentation. Intracardiac or other anomalies of the great vessels are commonly associated with this lesion. We present a case of isolation of the right subclavian artery which was initially diagnosed as persistent patency of a left-sided arterial duct. Surgical correction was eventually achieved by disconnecting the right subclavian artery from the right pulmonary artery and translocating it to the ascending aorta.

Type
Brief Reports
Copyright
Copyright © Cambridge University Press 1994

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