High Takeoff of the Right Coronary Artery Associated with Ventricular Septal Defect, Right Aortic Arch, and Bridging Bronchus

Hu, Youli; Li, Zhiping; Chen, Jianming; Zhong, Qin

doi:10.1111/jocs.12379

Cited by 4 publications

(8 citation statements)

References 7 publications

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“…A LPAS originates from the RPA and passes between the trachea and esophagus (retrotracheal LPA) to reach the hilum of the left lung (Figure I) . Other cardiovascular congenital anomalies observed include septal defects (nine cases: isolated atrial septal defect‐ three cases [7.7%]; isolated ventricular septal defect‐ four cases [10.2%]; and both atrial and ventricular septal defects‐ two cases [5.1%]), coarctation of the aorta (four cases; 10.2%) and tetralogy of Fallot (two cases; 5.1%) .…”

Section: Resultsmentioning

confidence: 99%

“…Patients with the BB typically present with signs and symptoms that are mainly related to large airway obstruction secondary to LPAS compressing the airway, or complete tracheal rings (absence of pars membranacea) . These symptoms include respiratory distress, apnea, wheezing, stridor, and recurrent lower respiratory tract infections . Patients generally present immediately after birth, or during (due to ventilatory difficulties) shortly after extubation following a surgical procedure to correct anomalies other than the BB .…”

Section: Resultsmentioning

confidence: 99%

“…MDCT, therefore, seems to be the best modality for establishing a definitive diagnosis of BB . Echocardiography is important for visualizing LPAS, but does not allow for the assessment of airway configuration and stenosis …”

Section: Resultsmentioning

confidence: 99%

“…The reported outcome is more favorable in more recent cases. The postsurgical follow‐up period for the various cases included in this study ranged from 6 months to 7 years . Most of these children remained asymptomatic with or without conservative therapy with bronchodilators or postural drainage and did not require any respiratory‐related admissions during this period .…”

Section: Resultsmentioning

confidence: 99%

“…8,9,[20][21][22] A LPAS originates from the RPA and passes between the trachea and esophagus (retrotracheal LPA) to reach the hilum of the left lung ( Figure 1I). 4,8,9,11 6,7,11,23 coarctation of the aorta (four cases; 10.2%) 15,24,25 and tetralogy of Fallot (two cases; 5.1%). 8,12 The BB was accompanied by extracardiac congenital anomalies in 11 out of the 42 (26.2%) cases included in this study, with the imperforate anus comprising approximately half of these cases.…”

Section: Anatomy Of the Bbmentioning

confidence: 99%

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The bridging bronchus: A comprehensive review of a rare, potentially life‐threatening congenital airway anomaly associated with cardiovascular defects

Henry

Cheruiyot

Wong

et al. 2019

Pediatric Pulmonology

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The bridging bronchus is a rare congenital airway anomaly in which the right upper lobe of the lung is supplied by the right main bronchus while the right lower lobe, and often the right middle lobe is supplied by an aberrant bronchus arising from the left main bronchus. The aberrant bronchus crosses (bridges) the lower part of the mediastinum, hence the term bridging bronchus (BB). This potentially life‐threatening condition, usually accompanied by diffuse or focal airway stenosis, commonly presents with signs and symptoms related to large airway obstruction, such as respiratory distress, apnea, wheezing, stridor, and recurrent respiratory tract infections. Diagnosis of the BB is often challenging because the associated signs and symptoms mimic those of common conditions such as bacterial and viral bronchiolitis, bronchial asthma, cystic fibrosis, and foreign body aspiration. The BB is also often accompanied by congenital cardiovascular anomalies, including left pulmonary artery sling, atrial, and ventricular septal defects, tetralogy of Fallot, patent ductus arteriosus, and coarctation of the aorta. Patients presenting with the above signs and symptoms who are not responsive to standard treatment modalities, and have accompanying cardiovascular congenital anomalies should, therefore, be investigated for the BB. Herein, we review the anatomy, embryology, clinical presentation, differential diagnosis, imaging techniques and surgical management of the BB.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Anatomy Of the Bbmentioning

confidence: 99%

See 3 more Smart Citations

The bridging bronchus: A comprehensive review of a rare, potentially life‐threatening congenital airway anomaly associated with cardiovascular defects

Henry

Cheruiyot

Wong

et al. 2019

Pediatric Pulmonology

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Isolated Bridging Bronchus: Findings from Bronchoscopy and Airway Three-Dimensional Reconstruction

DengYing¹,

QiuLi²,

Yangfan³

2017

Pediatric Allergy, Immunology, and Pulmonology

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A review of the surgical management of right-sided aortic arch aneurysms

Barr

Sepehripour

Jarral

et al. 2016

Interact CardioVasc Thorac Surg

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Aneurysms and dissections of the right-sided aortic arch are rare and published data are limited to a few case reports and small series. The optimal treatment strategy of this entity and the challenges associated with their management are not yet fully investigated and conclusive. We performed a systematic review of the literature to identify all patients who underwent surgical or endovascular intervention for right aortic arch aneurysms or dissections. The search was limited to the articles published only in English. We focused on presentation and critically assessed different management strategies and outcomes. We identified 74 studies that reported 99 patients undergoing surgical or endovascular intervention for a right aortic arch aneurysm or dissection. The median age was 61 years. The commonest presenting symptoms were chest or back pain and dysphagia. Eighty-eight patients had an aberrant left subclavian artery with only 11 patients having the mirror image variant of a right aortic arch. The commonest pathology was aneurysm arising from a Kommerell's diverticulum occurring in over 50% of the patients. Twenty-eight patients had dissections, 19 of these were Type B and 9 were Type A. Eighty-one patients had elective operations while 18 had emergency procedures. Sixty-seven patients underwent surgical treatment, 20 patients had hybrid surgical and endovascular procedures and 12 had totally endovascular procedure. There were 5 deaths, 4 of which were in patients undergoing emergency surgery and none in the endovascular repair group. Aneurysms and dissections of a right-sided aortic arch are rare. Advances in endovascular treatment and hybrid surgical and endovascular management are making this rare pathology amenable to these approaches and may confer improved outcomes compared with conventional extensive repair techniques.

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High Takeoff of the Right Coronary Artery Associated with Ventricular Septal Defect, Right Aortic Arch, and Bridging Bronchus

Cited by 4 publications

References 7 publications

The bridging bronchus: A comprehensive review of a rare, potentially life‐threatening congenital airway anomaly associated with cardiovascular defects

The bridging bronchus: A comprehensive review of a rare, potentially life‐threatening congenital airway anomaly associated with cardiovascular defects

Isolated Bridging Bronchus: Findings from Bronchoscopy and Airway Three-Dimensional Reconstruction

A review of the surgical management of right-sided aortic arch aneurysms

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