Anomalous origin of the left subclavian artery from the pulmonary artery

Uğurlucan, Murat; Arslan, Ahmet H.; Beşikçi, Resmiye; Karadeniz, Oktay; Ay, Sibel; Yıldız, Yahya; Çïçek, Sertaç

doi:10.1017/s1047951113000735

Cited by 5 publications

(4 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…To our knowledge, only two cases of a concomitant ISA and congenital complete atrioventricular block have been reported. 17,18 These two malformations may be derived from the same genetic defect or may be regulated by the same pathway. However, the family refused further genetic testing of the child after pacemaker implantation.…”

Section: Discussionmentioning

confidence: 99%

Clinical and imaging characteristics of isolated subclavian artery in pediatric patients

Zhu

Zhou

et al. 2021

Clinical Imaging

View full text Add to dashboard Cite

To describe clinical and imaging characteristics of an isolated subclavian artery (ISA) in pediatric patients. Background: ISA is a rare congenital aortic arch anomaly defined as a loss of connection between the subclavian artery and aorta. The clinical manifestations and complications of ISA in children are unclear. Methods: This retrospective study included clinical and imaging data of ISA patients younger than 18 years whose data were recorded in the electronic radiology database during January 2006-August 2019. Results: Of 102 enrolled patients, 59 had been diagnosed in the first year of life. The majority of the patients also had congenital heart diseases, of which tetralogy of Fallot was the most common. The vertebral artery and collateral branch of the descending aorta served as blood flow supplies in 94 and 8 patients with ISA, respectively, as confirmed using computed tomography or magnetic resonance imaging. However, the blood supply did not influence the development of ISA. Eleven patients exhibited mild or moderate stenosis of the ISA, although only two exhibited coldness or a blood pressure gradient in the upper extremities. These two symptomatic patients also presented with patent ductus arteriosus, and this association was significant (P = 0.008). Conclusion: ISA management is often determined based on symptoms and associated congenital heart diseases. The ISA is prone to stenosis in patients with ipsilateral patent ductus arteriosus. We recommend early surgical ligation or percutaneous closure of the ductus arteriosus in patients with ISA.

show abstract

Section: Discussionmentioning

confidence: 99%

Clinical and imaging characteristics of isolated subclavian artery in pediatric patients

Zhu

Zhou

et al. 2021

Clinical Imaging

View full text Add to dashboard Cite

show abstract

“…There are case reports of an isolated left subclavian artery from the pulmonary artery associated with various anatomical configurations including tetralogy of Fallot, double-outlet right ventricle, transposition of the great arteries with coarctation of the aorta, and single atrium, double-outlet right ventricle, pulmonary stenosis, and hypoplastic left heart. 3,4 A right aortic arch can be classified into 3 types: mirror-image branching, aberrant left subclavian artery, and isolated left subclavian artery from the ductus arteriosus or pulmonary artery. The third type is the least common with an incidence of 0.8% in a series of 298 patients.…”

Section: Discussionmentioning

confidence: 99%

Anomalous left subclavian artery from the pulmonary artery in a neonate

Catton

Setty

2018

Asian Cardiovasc Thorac Ann

View full text Add to dashboard Cite

The presence of an isolated left subclavian artery arising from the pulmonary artery in a patient with d-transposition of the great arteries is exceedingly rare. Prior to undertaking repair of this congenital cardiac anomaly, identification of an isolated left subclavian artery originating from the pulmonary artery is imperative in order to plan the appropriate intervention to prevent the development of subclavian artery steal or vertebrobasilar insufficiency. We describe the case of a 5 day-old girl in whom an isolated left subclavian artery arising from the pulmonary artery was detected after surgical entry for repair of transposition of the great arteries.

show abstract

“…Like isolated LSA, complete AVB has been associated with various congenital heart diseases-in as many as 50% of patients, in one study. 15 We found one description of complete AVB with double-outlet right ventricle, moderate hypoplasia of the left ventricle, and an isolated LSA, 16 and a single report of complete AVB associated with tricuspid atresia. 17 However, to our knowledge, neither the precise combination in our patient nor any particular genetic association between tricuspid atresia and congenital complete AVB has been reported.…”

Section: Discussionmentioning

confidence: 99%

Isolated Left Subclavian Artery, Complete Atrioventricular Block, and Tricuspid Atresia in a Neonate

Chaturvedi¹,

Prasad²,

Ashwath³

et al. 2016

Texas Heart Institute Journal

View full text Add to dashboard Cite

Isolated left subclavian artery is one of the rarer aortic arch anomalies. It has been associated with other congenital heart diseases, typically tetralogy of Fallot, double-outlet right ventricle, and atrial and ventricular septal defects. Its significant clinical implications include a left-to-right shunt from the vertebrobasilar system, which causes pulmonary overcirculation and subclavian steal. We present an unusual case of a premature infant who was diagnosed prenatally with congenital complete atrioventricular block and tricuspid atresia and was found to have an isolated left subclavian artery postnatally. The patient underwent implantation of a permanent single-chamber epicardial pacing system. To our knowledge, this combination of lesions has not been reported-and in our case, it influenced our surgical planning.

show abstract

Anomalous origin of the left subclavian artery from the pulmonary artery

Cited by 5 publications

References 0 publications

Clinical and imaging characteristics of isolated subclavian artery in pediatric patients

Clinical and imaging characteristics of isolated subclavian artery in pediatric patients

Anomalous left subclavian artery from the pulmonary artery in a neonate

Isolated Left Subclavian Artery, Complete Atrioventricular Block, and Tricuspid Atresia in a Neonate

Contact Info

Product

Resources

About