Selective cyanosis of the right arm

Keagy, Kathleen S.; Schall, Stewart A.; Herrington, Robert T.

doi:10.1007/bf02427031

Cited by 16 publications

(3 citation statements)

References 1 publication

(1 reference statement)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We refer to Type IIa, named isolated right subclavian artery (IRSA), as RPA-RDA-IRSA ( Figure 3G ) ( 23 – 26 ). In Type IIb1, the RPA originates directly from the RSA via the RDA, with or without PA; we refer to it as RPA-RDA- RSA ( Figure 3H ) ( 10 , 27 ).…”

Section: Discussionmentioning

confidence: 99%

Prenatal echocardiography diagnosis of a novel combination of bilateral ductus arteriosus and cardiovascular anomalies: a case report and literature review

Zhang,

Wang,

et al. 2024

Front. Cardiovasc. Med.

View full text Add to dashboard Cite

BackgroundBilateral ductus arteriosus (BDA) is a relatively rare vascular malformation. According to the double arch theory, BDA is formed when the distal ends of the sixth pairs of primitive arches on the left and right sides have not regressed. We describe a fetus with prenatal echocardiographic findings of BDA and right aortic arch mirror-image branching (RAA-MIB) combined with congenital heart disease. Furthermore, to gain a deeper understanding of the embryological mechanism of BDA, we review the literature on all combinations of BDA present in 40 fetuses/infants.Case summaryA 22-year-old female patient underwent fetal echocardiography at 23 weeks of gestation. Both the two-dimensional (2D) grayscale image and color Doppler flow imaging (CDFI) revealed dextro-transposition of the great arteries combined with a ventricular septal defect and RAA-MIB. The following scan revealed a rare vascular ring, which was identified as BDA extending from the confluent of the left pulmonary artery and right pulmonary artery, completely encircling the trachea to form an “O”-shaped vascular ring before finally converging into the descending aorta. A persistent left superior vena cava was also observed. We subsequently used four-dimensional (4D) color Doppler imaging with the spatiotemporal image correlation (STIC) HD live flow and STIC HD live flow silhouette mode to clearly display ventricular arterial connectivity and the direction of vessel travel. Adjusting the image quality and display angle is very important when applying STIC. The 4D images confirmed our diagnosis. After multidisciplinary counseling and discussion with her family, this female patient decided to terminate the pregnancy.ConclusionOur review of the literature summarized nine combinations classified into three types of BDA and aortic arch pathology. However, our case differs because it is a novel combination of intracardiac structural abnormalities and vascular rings in a fetus. Prenatal ultrasound diagnosis of BDA is important and requires a combination of 2D grayscale, CDFI, and STIC images to assist in scanning.

show abstract

Section: Discussionmentioning

confidence: 99%

Prenatal echocardiography diagnosis of a novel combination of bilateral ductus arteriosus and cardiovascular anomalies: a case report and literature review

Zhang,

Wang,

et al. 2024

Front. Cardiovasc. Med.

View full text Add to dashboard Cite

show abstract

“…Persistence of bilateral AD has been most commonly described in pulmonary atresia, usually with nonconfluent pulmonary arteries [1][2][3][4] and more rarely in the setting of a double or interrupted aortic arch [2,5], or congenital isolation of a pulmonary or systemic artery [3,6,7]. Bilateral AD and pulmonary atresia with confluent pulmonary arteries has been reported only in the setting of asplenia syndrome [1][2][3].…”

Section: Discussionmentioning

confidence: 99%

“…The persistence of bilateral arterial ducts (ADs) is a rare congenital heart anomaly, usually associated with pulmonary atresia with nonconfluent pulmonary arteries [1][2][3][4] or abnormalities of aortic arch development [5][6][7]. Bilateral AD associated with pulmonary atresia and confluent pulmonary arteries is an extremely rare occurrence.…”

Section: Introductionmentioning

confidence: 99%

Persistence of bilateral arterial ducts in pulmonary atresia despite confluent branch pulmonary arteries: Opportunity for two percutaneous therapeautic alternatives

Texter

Shah

Carlson

et al. 2007

Cathet Cardio Intervent

View full text Add to dashboard Cite

We present a case of a newborn infant with double inlet left ventricle, pulmonary atresia, confluent pulmonary arteries, and bilateral arterial ducts (AD), to discuss the therapeutic alternatives offered by interventional catheterization techniques in this anatomic arrangement. The infant initially underwent stenting of the right AD to stabilize pulmonary blood flow off of prostaglandin infusion. Three weeks later, she developed left pulmonary artery isolation upon closure of the left arterial duct. An additional stent was placed in the pulmonary artery confluence, restoring blood flow to the left lung and significantly improving her oxygen saturations. At 6 months of age she underwent her first surgical procedure, a successful bidirectional cavopulmonary anastomosis with removal of the left pulmonary artery stent and patch enlargement of the pulmonary artery confluence. She continues to do well in clinical follow-up at 16 months of age.

show abstract

References

2003

The Natural and Modifed History of Congenital Heart Disease

View full text Add to dashboard Cite

Selective cyanosis of the right arm

Cited by 16 publications

References 1 publication

Prenatal echocardiography diagnosis of a novel combination of bilateral ductus arteriosus and cardiovascular anomalies: a case report and literature review

Prenatal echocardiography diagnosis of a novel combination of bilateral ductus arteriosus and cardiovascular anomalies: a case report and literature review

Persistence of bilateral arterial ducts in pulmonary atresia despite confluent branch pulmonary arteries: Opportunity for two percutaneous therapeautic alternatives

References

Contact Info

Product

Resources

About