The cervical aortic arch: A case with diffuse arterial dysplasia and neurocutaneous angiomatosis

Jl, Bourdon; Jc, Hoeffel; Am, Worms; Picard, L; Pernot, C

doi:10.1007/bf00975188

Cited by 13 publications

(3 citation statements)

References 26 publications

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“…Three of these cases were related to surgery for treating CHD without the CAA ( 14 , 27 , 39 ), while only one case focused on surgery for isolated CAA ( 2 ). The three non-operated patients experienced different causes of death: one patient died due to acute cerebral hemorrhage ( 6 ), another patient died due to sepsis with deranged coagulation, renal failure, and cardiopulmonary failure ( 50 ), and the third patient experienced unexpected death 24 h after undergoing cerebral arteriography, with no identifiable cause ( 17 ). After surgery, only four patients (among the symptomatic), all with a vascular ring, did not completely resolve their symptoms, which persisted in a milder form than prior to intervention ( 6 , 19 , 39 , 54 ).…”

Section: Resultsmentioning

confidence: 99%

Cervical aortic arch in the pediatric population: a meta-analysis of individual patient's data

Baudo,

Varrica,

Reali

et al. 2023

Front. Cardiovasc. Med.

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BackgroundThis is the first meta-analysis to analyze all reports of published pediatric cases of cervical aortic arch (CAA) by highlighting the clinical characteristics and treatment outcomes using the reported individual data of the patients. The aim of the study is to investigate the clinical features and surgical outcomes of such a rare disease in the pediatric population.MethodsA comprehensive search was conducted in various academic databases, including PubMed, ScienceDirect, SciELO, DOAJ, and Cochrane Library, until June 2022 for case reports describing the presence of cervical aortic arch in the pediatric age. Case reports and series were included if the following criteria were met: (1) description of the cervical aortic arch; (2) patient of pediatric age; and (3) published in the English language. All other types of publications that lacked patient-specific information were excluded from the analysis. This systematic review was conducted in accordance with the PRISMA guidelines. The primary outcome measure of the analysis was early and late mortality.ResultsThe literature search identified 2,272 potentially eligible articles, 72 of which met our inclusion criteria with 96 patients including the author's institutional case. At a median of 365 (90–730) days, the overall cohort registered a 7.3% (7/96) mortality rate. In the subset of patients who underwent surgery, the mortality rate was also 7.3% (4/55), and the mortality rate following surgery to treat only CAA was 2.4% (1/42). Dyspnea was identified as an independent determinant of mortality by employing the univariable Firth bias-reduced logistic regression method.ConclusionCervical aortic arch is a rare congenital heart disease that poses treatment challenges due to the high anatomical variability, diverse clinical presentations, and the presence of other concomitant diseases. The surgical treatment appears to be a safe and effective approach for resolving the symptoms, although it needs to be tailored individually for each patient.Systematic Review Registrationhttps://www.crd.york.ac.uk/prospero/display_record.php?RecordID=346826, Identifier: CRD42022346826.

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Section: Resultsmentioning

confidence: 99%

Cervical aortic arch in the pediatric population: a meta-analysis of individual patient's data

Baudo,

Varrica,

Reali

et al. 2023

Front. Cardiovasc. Med.

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“…Three theories are advanced as a cause of CAA: (1) persistence of the more superiorly located 3 rd branchial arch and the ductus caroticus (segment of dorsal aorta between the 3 rd and 4 th aortic arch) with disappearance of the fourth arch on the side of the aortic arch-this theory explains the separate origin of the external and internal carotid arteries noted occasionally, (2) fusion of the 3 rd and 4 th arches, and 3) absence of the caudal migration of the 4 th arch-the branching is normal in this case. 8 The latter two explain the abnormally long distance between the left common carotid and the left subclavian which predisposes the patient to a true or pseudocoarctation. 4 22 q11 deletions have been described in CAA with and without conotruncal anomalies.…”

Section: Discussionmentioning

confidence: 99%

Fetal echocardiographic diagnosis of a triad with common embryological origins: Cervical aortic arch, retro‐aortic left innominate vein and coarctation of the aorta

Ramaswamy

Harrington

2021

Echocardiography

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Cervical aortic arch (CAA) and retro-aortic innominate vein (RAIV) are rare entities which can be associated with one another in a structurally normal heart. Less well recognized is the fact, that a third entity may often be present as well, since aortic arch abnormalities are common in a CAA. Hence, these three entities (CAA, RAIV, and an arch anomaly -in this case a post-ductal coarctation) may present as a triad. We present the first prenatal diagnosis of this rare triad which can be explained by common embryological origins which are discussed along with instructive aspects in diagnosis and management.

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“…Aneurismatic dilation, kinking or stenosis of CAA also suggests the presence of primary developmental disease of arterial wall. Moreover histological analysis documented the association of degenerative changes in the arterial wall of CAA and beyond, such as mediocystic necrosis [38][39][40].…”

Section: Discussionmentioning

confidence: 99%

Clinical, anatomopathological and genetic pattern of 10 patients with cervical aortic arch

Baravelli

Borghi²,

Rogiani

et al. 2007

International Journal of Cardiology

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The cervical aortic arch: A case with diffuse arterial dysplasia and neurocutaneous angiomatosis

Cited by 13 publications

References 26 publications

Cervical aortic arch in the pediatric population: a meta-analysis of individual patient's data

Cervical aortic arch in the pediatric population: a meta-analysis of individual patient's data

Fetal echocardiographic diagnosis of a triad with common embryological origins: Cervical aortic arch, retro‐aortic left innominate vein and coarctation of the aorta

Clinical, anatomopathological and genetic pattern of 10 patients with cervical aortic arch

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