Truncus arteriosus with double aortic arch: A rare association

Yıldırım, Selman Vefa; Yıldırım, Atilla

doi:10.24953/turkjped.2017.02.020

Cited by 5 publications

(4 citation statements)

References 9 publications

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“…Double aortic arch appears when the involution of the right fourth arch fails to occur. DAA usually occurs as an isolated lesion, it may be associated with congenital heart diseases such as tetralogy of Fallot (TOF), ventricular septal defect, and transposition of great arteries [23]. DAA can be divided into two types depending upon the patency of two arches.…”

Section: Bovine Origin Of Left Vertebral Artery (Lva) From the Aorticmentioning

confidence: 99%

Anatomical Variations of the Aortic Arch: A Computerized Tomography-Based Study

Pandalai¹,

Pillay²,

Moorthy³

et al. 2021

Cureus

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Introduction Despite adequate preparation and meticulous pre-operative assessment, variations of the vascular anatomy of the aortic arch may lead to clinical dilemmas. In the present era, with the easy availability of imaging facilities, various anatomical variations can be found out prior to an interventional procedure. However, there are many countries including India where such facilities may still be not widely available. The purpose of this study was to assess the prevalence of these anatomical variants in patients undergoing Computerised Tomography (CT) chest with contrast. Methods This observational study involved patients who underwent CT chest with contrast as part of various clinical indications during a three-year period in a tertiary care centre in South India. Variations of the aortic arch and its branching pattern were studied in 4,000 chest CT images of patients referred to the radiology department. Results A total of 4,000 patients underwent CT chest with contrast during the study period. Twenty-seven variations were observed in these patients. They included aberrant right subclavian artery in seven patients, bovine arch in one patient, bovine origin of left vertebral artery from arch in one patient, bronchial artery of anomalous origin from arch in one patient, double aortic arch in one patient, and right-sided aortic arch in 16 patients. Conclusion The variant anatomy of the aortic arch has tremendous clinical significance, especially from the surgical standpoint. Anatomical variants can also cause difficulty during catheterization while performing endovascular interventions. Given the prevalence demonstrated in our study, imaging may be indicated prior to any procedure involving vascular access in order to prevent unwanted complications.

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Section: Bovine Origin Of Left Vertebral Artery (Lva) From the Aorticmentioning

confidence: 99%

Anatomical Variations of the Aortic Arch: A Computerized Tomography-Based Study

Pandalai¹,

Pillay²,

Moorthy³

et al. 2021

Cureus

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“…The truncal vessel carries blood from both ventricles. 2 The pulmonary arteries branch from this vessel, which is located generally above the coronary ostium. Aortopulmonary and interventricular defects are thought to be caused by the conotruncal septal defect.…”

Section: Introductionmentioning

confidence: 99%

“…As a result, the ductus arteriosus is either absent or diminished in patients with a normal calibre aortic arch. 2 We present a rare case of the common arterial trunk with coarctation of the aorta and patent ductus arteriosus (PDA). Because of the patient’s poor clinical status, palliation with bilateral pulmonary artery branch banding and Prostaglandin E1 infusion was required.…”

Section: Introductionmentioning

confidence: 99%

A rare case of common arterial trunk with coarctation of the aorta: a case report

Abdelaal

Dedieu

2022

European Heart Journal - Case Reports

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Background A common arterial trunk is a relatively uncommon type of congenital heart defect. The anomaly is caused by an incomplete conotruncal septation. Arch anomalies, such as interruption, are associated with 10% to 20% of cases. We present a rare case of common arterial trunk with coarctation of the aorta and patent ductus arteriosus. Case summary A term baby who was discovered to have a murmur on examination, for evaluation of the murmur an echocardiography was performed on day two of life, which revealed the diagnosis of a common arterial trunk and coarctation of the aorta. The baby was given prostaglandin and intubated. Due to his poor general condition, he underwent an emergency pulmonary artery branch banding. He needed another five days in the intensive care unit to be stabilised before undergoing full repair. Discussion Our patient has a common arterial trunk with a tricuspid competent truncal valve. The trunk is subdivided further into ascending aorta and main pulmonary artery. The pulmonary artery provided two branches and a patent ductus arteriosus (PDA) that connected to the descending aorta. The aortic branching pattern was as usual, there was an area of tight coarctation and posterior shelf just after the origin of the left subclavian artery before the descending aorta-PDA junction. The presence of coarctation may be considered as the left side of the spectrum of morphological changes towards the formation of aortic arch interruption (Type 4 Van Praagh)

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“…Common arterial trunk (CAT) is a rare congenital malformation characterized by a single arterial trunk arising from the heart, overriding the interventricular septum and gives rise to the systemic, pulmonary, and coronary circulations 1 . The incidence of defect is 6-10/100,000 live births, it is occasionally associated with aortic arch anomaly such as right aortic arch and aortic arch interruption 1,2 . Double aortic arch (DAA) is the most common vascular ring, and results from persistence of both 4 th arches, compressing the trachea or esophagus or both 2 .…”

Section: Introductionmentioning

confidence: 99%

Common arterial trunk and double aortic arch: a rare association

Peralta-Santos

Flores-Sarria

Ramírez-Marroquín

et al. 2021

Preprint

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Background: The association of double aortic arch and common arterial trunk is extremely rare. The initial surgical approach depends on the patient’s clinical condition and associated cardiac anomalies. Aim: To report a rare association of common arterial trunk with double aortic arch in a 4-month-old female infant. Methods: description of case of a rare association where double aortic arch was not diagnosed initially, surgical repair was done successfully. Results and conclusions: associated cardiovascular anomalies may have an impact on management and outcome. Magnetic resonance imaging and computed tomography may be useful in assessment of this rare association. Complete repair has favorable outcome.

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Truncus arteriosus with double aortic arch: A rare association

Cited by 5 publications

References 9 publications

Anatomical Variations of the Aortic Arch: A Computerized Tomography-Based Study

Anatomical Variations of the Aortic Arch: A Computerized Tomography-Based Study

A rare case of common arterial trunk with coarctation of the aorta: a case report

Common arterial trunk and double aortic arch: a rare association

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