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Double aortic arch: postnatal obliteration of the left aortic arch. Is arterial duct closure responsible?

Published online by Cambridge University Press:  29 May 2013

David Rose*
Affiliation:
Department of Cardiocirculatory Pathophysiology, Anesthesiology, and General Surgery, Sapienza University of Rome, Rome, Italy
Riccardo D'Ascoli
Affiliation:
Department of Cardiocirculatory Pathophysiology, Anesthesiology, and General Surgery, Sapienza University of Rome, Rome, Italy
Flavia Ventriglia
Affiliation:
Pediatric Cardiology, Sapienza University of Rome, Rome, Italy
Fabio Miraldi
Affiliation:
Department of Cardiocirculatory Pathophysiology, Anesthesiology, and General Surgery, Sapienza University of Rome, Rome, Italy
*
Correspondence to: D. Rose, Department of Cardiocirculatory Pathophysiology, Anesthesiology, and General Surgery, Sapienza University of Rome, 00161 Rome, Italy. Tel: +00 393 207 260 389; Fax: +00 390 649 977 2599; E-mail: [email protected]

Abstract

We present a case of double aortic arch with a predominant right and a double arterial duct detected by echocardiogram in a 28-week gestation foetus. The first evaluation revealed that both arches were perfused; the 1-month postnatal echocardiogram showed the closure of both arterial ducts and the partial obliteration of the left aortic arch between the left subclavian artery and the dorsal aorta. In our case, the postnatal obliteration of the left arch in a double aortic arch was probably due to the closure of the left-sided arterial duct.

Type
Brief Reports
Copyright
Copyright © Cambridge University Press 2013 

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References

1. Edwards, JE. “Vascular rings” related to anomalies of the aortic arches. Mod Concepts Cardiovasc Dis 1948; 17: 1920.Google ScholarPubMed
2. Yoo, SJ, Min, JY, Lee, YH, Roman, K, Jaeggi, E, Smallhorn, J. Sonographic diagnosis of aortic arch anomalies. Ultrasound Obstet Gynecol 2003; 22: 535546.Google Scholar
3. Kanne, JP, Godwin, JD. Right aortic arch and its variants. J Cardiovasc Comput Tomogr 2010; 4: 293300.Google Scholar
4. Craatz, S, Künzel, E, Spanel-Borowski, K. Right-sided aortic arch and tetralogy of Fallot in humans – a morphological study of 10 cases. Cardiovasc Pathol 2003; 12: 226232.Google Scholar
5. Thankavel, PP, Brown, PS, Lemler, MS. Left-dominant double aortic arch in critical pulmonary stenosis and ventricular septal defect. Pediatr Cardiol 2012; 33: 14691471.CrossRefGoogle ScholarPubMed
6. Liberman, L, Gersony, WM, Flynn, PA, Lamberti, JJ, Cooper, RS, Stare, TJ. Effectiveness of prostaglandin E1 in relieving obstruction in coarctation of the aorta without opening the ductus arteriosus. Pediatr Cardiol 2004; 25: 4952.Google Scholar
7. Lee, M-L, Chen, M, Tsao, L-Y, et al. Congenital stridor and wheezing as harbingers of the del22q11.2 syndrome presenting cardiovascular malformations of right aortic arch, aberrant left subclavian artery, Kommerell's diverticulum, and left ligamentum arteriosum. Cardiovasc Pathol 2011; 20: 124129.Google Scholar

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