Right Aortic Arch With Isolation of the Left Subclavian Artery: Case Report and Review of the Literature

Luetmer, Patrick H.; Miller, Gary M.

doi:10.1016/s0025-6196(12)62540-3

Cited by 91 publications

(85 citation statements)

References 23 publications

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“…In contrast, dissolution of left sixth aortic arch and left dorsal aorta distal to the origin of the seventh intersegmental artery results in right aortic arch [4,5].…”

Section: Discussionmentioning

confidence: 95%

“…Most subclavian isolation was associated with intracardiac [4,[7][8][9][10], aortic arch (interrupted arch [11] or bilateral ductus [12]), or great vessels anomalies [13], most frequently tetralogy of Fallot. All our four patient presented with associated cardiac lesions.…”

Section: Discussionmentioning

confidence: 99%

“…The incidence of right aortic arch with isolated left subclavian artery (LSA) is very rare, accounting for only 0.8% of 298 right arch cases [3]. In 1990, Leutmer and Miller review the literature to 1990 and showed 39 cases of right arch with isolated LSA [4]. In contrast, the incidence of the isolated right subclavian artery (RSA) in left aortic arch is far less, and about only one fourth of the left one [2].…”

Section: Introductionmentioning

confidence: 99%

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Isolation of the subclavian artery: 4 cases report and literature review

Chen

Cheng

Lin

et al. 2006

Int J Cardiovasc Imaging

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“…In contrast, dissolution of left sixth aortic arch and left dorsal aorta distal to the origin of the seventh intersegmental artery results in right aortic arch [4,5].…”

Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Isolation of the subclavian artery: 4 cases report and literature review

Chen

Cheng

Lin

et al. 2006

Int J Cardiovasc Imaging

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“…2,7) Isolated cases with a double-outlet right ventricle, 8) complete transposition of the great arteries, 5) and interrupted aortic arch 9) have also been reported. Our patient's complex intracardiac malformations and absence of the left pulmonary artery have not previously been reported.…”

mentioning

confidence: 99%

Subclavian and Pulmonary Steal Phenomenon in Isolated Left Subclavian Artery with Left Lung Agenesis.

Chen

2002

Jpn Heart J

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SUMMARYIsolated left subclavian artery has been documented to be associated with several congenital cardiac defects, including tetralogy of Fallot and transposition of the great arteries. In some cases subclavian or pulmonary artery steal phenomenon may occur when the isolated left subclavian artery connects to the main pulmonary artery via a ductus arteriosus. The isolated left subclavian artery may be part of the cardiac manifestations in multiple congenital anomalies, such as VACTERL association. We describe subclavian and pulmonary steal phenomenon in a neonate with complex congenital heart disease, including an isolated left subclavian artery, and left lung agenesis. An isolated left subclavian artery is rare and its association with agenesis of the left lung has not been reported previously. CASE REPORTA male Taiwanese infant weighing 2760 grams was born at term to a G2P2 mother by vaginal delivery. The Apgar scores were 3 and 7 at one and five minutes, with a delay of initial crying for one minute. There was no family history of cardiac or skeletal anomalies. Physical examination at birth showed a slightly hypoplastic left hemithorax. The heart rate was 136 beats per minute, the respiratory rate 50 per minute, and blood pressure 45/25 mmHg and 62/34 mmHg in the left and right upper limbs, respectively. Systemic oxygen saturation was 80% on room air. The left brachial pulse was weak with a normal right brachial and femoral pulse. There was no cranial bruit. A grade 2/6 systolic ejection murmur was heard at the left midsternal border. Breath sounds were absent over the left chest. A chest x-ray showed almost complete opacification of the left hemithorax with a shift of the heart to the left, hemivertebrae of T4 to T7, scoliosis (Figure 1), and absence of the left radius. The baby's karyotype was 46XY. An electrocardiogram showed right axis deviation, right atrial enlargement, and right ventricular hyperFrom

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“…Se trata de una variante que es imagen en espejo del cayado aórti-co izquierdo con ASDA y, por tanto, puede producir la misma sintomatología. En estos pacientes, además, son más prevalentes las anomalías cardiacas estructurales, principalmente la tetralogía de Fallot 6,7 . Aproximadamente dos tercios de los pacientes con ASDA o ASIA presentan una dilatación en su salida conocida como «di-vertículo de Kommerell», signo descrito por primera vez en el año 1936 en el contexto clínico de un paciente con disfagia 8 .…”

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