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Isolated right subclavian artery in a left aortic arch with ventricular septal defect

Published online by Cambridge University Press:  16 December 2020

Ayed A. Shati*
Affiliation:
Department of Child Health, College of Medicine, King Khalid University, Abha, Saudi Arabia
*
Address for correspondence: Ayed A. Shati, Department of Child Health, College of Medicine, King Khalid University, P.O. Box 641, Abha, Saudi Arabia. Tel: +966555752063. E-mail: [email protected]

Abstract

Isolated origin of the subclavian artery is a congenital anomaly of the aortic arch in which one subclavian artery is attached to the ipsilateral pulmonary artery through ligamentous arteriosus. An isolated right subclavian artery with the left-sided aortic arch is an extremely rare condition. We report on an asymptomatic 2-year-old-girl, who was referred because of an incidental cardiac a murmur. She was diagnosed by echocardiography to have an isolated right subclavian artery connected to the right pulmonary artery in a left aortic arch with a ventricular septal defect. MRI confirmed the findings.

Type
Brief Report
Copyright
© The Author(s), 2020. Published by Cambridge University Press

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References

Stewart, JR, Kincaid, OW, Edwards, JE. An Atlas of Vascular Rings and Related Malformations of the Aortic Arch System. Charles C Thomas, Publisher, Springfield, Illinois, 1964.Google Scholar
Stewart, JR, Kincaid, OW, Titus, JL. Right aortic arch: plain film diagnosis and significance. Am J Roentgenol 1966; 97: 377389.CrossRefGoogle ScholarPubMed
Kutsche, LM, Van Mierop, LHS. Anomalous origin of a pulmonary artery from the ascending aorta: associated anomalies and pathogenesis. Am J Cardiol 1988; 61: 850856.CrossRefGoogle ScholarPubMed
Penkoske, PA, Castaneda, AR, Fyler, DC, Van Praagh, R. Origin of pulmonary artery branch from the ascending aorta. Primary surgical repair in infancy. J Thorac Cardiovasc Surg 1983; 85: 537545.CrossRefGoogle ScholarPubMed
Johnson, MC, Watson, MS, Strauss, AW, Spray, TL. Anomalous origin of the right pulmonary artery from the aorta and CATCH 22 syndrome. Ann Thorac Surg 1995; 60: 681683.CrossRefGoogle ScholarPubMed
Edwards, JE. Anomalies of the aortic arch system. Birth Defects 1977; 13: 4763.Google ScholarPubMed
Mittal, PK, Agarwal, SK, Ghosh, PK. Isolated anomalous origin of the left pulmonary artery from the ascending aorta in an adult. J Thorac Cardiovasc Surg 1993; 106: 12201223.CrossRefGoogle ScholarPubMed
Duncan, WJ, Freedom, RM, Olley, PM, Rowe, RD. Two-dimensional echocardiographic identification of hemitruncus: anomalous origin of one pulmonary artery from ascending aorta with the other pulmonary artery arising normally from the right ventricle. Am Heart J 1981; 102: 892896.CrossRefGoogle ScholarPubMed
Katayama, H, Shimizu, T, Tanaka, Y, Narabayashi, I, Tamai, H. Three-dimensional magnetic resonance angiography of vascular lesions in children. Heart Vessels 2000; 15: 16.CrossRefGoogle ScholarPubMed