Congenital absence of the aortic arch

Celoria, G; Patton, Roy Β.

doi:10.1016/0002-8703(59)90157-7

Cited by 437 publications

(177 citation statements)

References 8 publications

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“…IAA differs from aortic coarctation by the degree of stenosis of the thoracic aorta. According to the location of the interruption of the aortic arch, IAA can be classified into three categories: type A, being the most common and accounting for 79% of cases, occurs distal to the left subclavian artery; type B occurring between the left carotid and left subclavian arteries, and type C presenting between the innominate artery and the left carotid artery [4]. Further anomalies are commonly associated with IAA: the most common is bicuspid aortic valve seen in 50% of cases.…”

Section: Discussionmentioning

confidence: 99%

Incidental Finding of Interrupted Aortic Arch in an Asymptomatic Adult: To Treat or Not to Treat?

Sala¹,

Alfieri²

2017

J Cardiovasc Dis Diagn

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Interrupted aortic arch (IAA) is a congenital anomaly that affects approximately 3 per million live-births. Adult presentation of complete aortic interruption is extremely rare. Surgical repair of IAA is the mainstay of treatment, however beneficial effects of intervention in the adult population are still debated. Late complications of surgical or percutaneous procedures have to be considered when managing asymptomatic adults.

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Section: Discussionmentioning

confidence: 99%

Incidental Finding of Interrupted Aortic Arch in an Asymptomatic Adult: To Treat or Not to Treat?

Sala¹,

Alfieri²

2017

J Cardiovasc Dis Diagn

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“…[1] It was described for the first time in 1778 by Steidele, [2] and Celoria and Patton [3] defined the first classification system of IAA in 1959, which is still popular today. According to this classification system, the interruption is identifieded as type A when the site of the aortic arch discontinuity is distal to the left subclavian artery (as in our case), as type B when the interruption site is between the left subclavian artery and the left carotid artery, and as type C when this segment is between the left carotid artery and the innominate artery.…”

Section: Discussionmentioning

confidence: 99%

The single-stage extra-anatomic repair of an isolated interrupted aortic arch in an adult and a review of the literature

Özeren¹

2012

Turk Gogus Kalp Dama

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Kesintiye uğramış arkus aort, çıkan ve inen aort arasında lümenin tamamen kaybı ve anatomik sürekliliğin olmaması ile karakterize, nadir ve ciddi bir doğuştan kalp defektidir. Bu malformasyonun prognozu, cerrahi olarak tedavi edilmez ise kötüdür. Bu yazıda tip A kesintiye uğramış arkus aortu olan ve cerrahi ile başarılı bir şekilde tedavi edilen 56 yaşında erkek hasta, konu ile ilgili literatür göz-den geçirilerek sunuldu.Anah tar söz cük ler: Erişkin; doğuştan; ekstra anatomik baypas; kesintiye uğramış arkus aort.Interrupted aortic arch is a rare and severe congenital heart defect characterized by a complete loss of luminal and anatomic continuity between the ascending and the descending aorta. This malformation has a poor prognosis without surgical treatment. In this article, we present a 56-year-old male patient with interrupted aortic arch type A who was treated successfully with surgery, and review the literature regarding this topic.Key words: Adult; congenital; extra-anatomic bypass; interrupted aortic arch.The interruption of the aortic arch (IAA) characterized by complete luminal and anatomic discontinuity between the ascending and descending aorta is an extremely rare entity in the adult population.[1] It is often diagnosed and repaired during the neonatal period. The prognosis for this anomaly depends on the associated congenital anomalies, but the outcome is usually very poor unless there is surgical treatment. We found 18 adult cases (18 years and older) of IAA which had been surgically treated by extra-anatomic bypass in the literature. Herein we describe a successful extra-anatomic repair in a patient who had an isolated type A aortic interruption. CASE REPORTA 56-year-old male patient arrived at the cardiology clinic of our hospital complaining of chest pain and shortness of breath. He also had a history of stroke due to an intracranial hemorrhage and hypertension, which had been treated with angiotensin-converting enzyme (ACE) inhibitors. On his physical examination, the peripheral pulses were normally palpable in the upper extremities, but they were reduced in the lower limbs. Cardiac auscultation revealed a rhythmic tachycardia with no additional heart sounds. Electrocardiography showed sinus tachycardia and signs of left ventricular hypertrophy and ST-T wave changes. Chest radiography showed an increased cardiothoracic ratio. Laboratory results were within normal ranges.An angiography was performed via the femoral approach for coronary artery imaging, but the catheter could not be inserted to the arcus aorta (Figure 1a). Interruption of the thoracic aorta was suspected. The angiography was then repeated via the brachial approach, and the interruption of the arcus aorta was diagnosed with normal coronary arteries (Figure 1b). An angiotomography of the aorta was then requested which disclosed an aortic occlusion 2 cm after the origin of the left subclavian artery (Figure 2a). This

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“…Type C is a very rare type, occurring in less than 5% of IAA cases. In this type, the defect is the most proximal form, occurring between the innominate and left common carotid arteries (3).…”

Section: Introductionmentioning

confidence: 99%

Right Sided Aortic Arch with Type C Aortic Arch Interruption: CT Angiography Findings

et al. 2017

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A 4-year old boy with a history of poor feeding, dyspnea and irritability while feeding that started since infancy, was referred to our center. Long-term examination of the disorder was started by echocardiography since he was one-month old and was performed when he was 2 years old. Although in all those evaluations, right sided aortic arch (RSAA) and increased right ventricle (RV) and pulmonary artery (PA) pressures were noticed, the definite diagnosis was not reached at that occasion. The patient was referred to our radiographic center and preceeded to undergo CT angiography with multislice spiral thin section scans plus maximum intensity projection (MIP), multiplanar reconstruction (MPR) and volume rendering techniques. The computed tomography (CT) angiographic findings revealed type C aortic arch interruption with right sided aortic arch which is a very rare condition and only one similar case has been previously reported in the literature. Interestingly, almost all types of right sided aortic arch interruptions reported so far were of type B. The reason why our case is type C could be explained from an embryologic point of view. Explanation of this case could be helpful and attractive since echocardiographic and angiographic findings were not definitive enough for final diagnosis of this case. The symptoms intensified after repairing the patient's ventricular septal defect (VSD); however, definite diagnosis was obtained by CT angiography. What makes this case report more important is that the authors believe that diagnostic methods in developed countries are able to diagnose this congenital heart disease sooner in neonatal or even in prenatal periods, resulting in a lower incidence of presentation of similar cases in childhood.

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Congenital absence of the aortic arch

Cited by 437 publications

References 8 publications

Incidental Finding of Interrupted Aortic Arch in an Asymptomatic Adult: To Treat or Not to Treat?

Incidental Finding of Interrupted Aortic Arch in an Asymptomatic Adult: To Treat or Not to Treat?

The single-stage extra-anatomic repair of an isolated interrupted aortic arch in an adult and a review of the literature

Right Sided Aortic Arch with Type C Aortic Arch Interruption: CT Angiography Findings

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