Unmasking of an isolated right subclavian artery from the pulmonary artery after device occlusion of a patent arterial duct

Crystal, Matthew A.; Rivenes, Shannon M.; Ing, Frank F.

doi:10.1002/ccd.24514

Cited by 7 publications

(5 citation statements)

References 12 publications

(11 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The diagnosis is often confirmed by advanced computed tomographic or magnetic resonance imaging techniques. 8,10 Conclusions Isolated subclavian artery is diagnosed by the following findings: first arch branch is non-branching, ductal flows in the pulmonary artery from an unusual location, and reversal of blood flow in the vertebral artery. Transcatheter duct closure preventing the second steal is an alternative to surgical reanastamosis.…”

Section: Discussionmentioning

confidence: 99%

Clues to echocardiographic diagnosis of isolation of right subclavian artery in a patient with DiGeorge syndrome and its transcatheter management with its associated anomalies

2019

View full text Add to dashboard Cite

Isolated subclavian artery is a rare anomaly. A second steal due to a patent arterial duct further reduces arm perfusion. Surgical anastomosis of the isolated vessel to aorta normalises arm perfusion. Simple echocardiographic clues aid in the diagnosis. An associated moderate sized ventricular septal defect was non-surgically closed along with catheter closure of the duct resulting in improved arm perfusion.

show abstract

Section: Discussionmentioning

confidence: 99%

Clues to echocardiographic diagnosis of isolation of right subclavian artery in a patient with DiGeorge syndrome and its transcatheter management with its associated anomalies

2019

View full text Add to dashboard Cite

show abstract

“…Clinical symptoms could be because of left subclavian artery perfusion with desaturated blood from the pulmonary artery (visualized by echocardiography as right‐to‐left flow). Alternatively, the left subclavian artery is supported by accessory aorto‐subclavian collaterals and, more frequently, displays retrograde flow to the pulmonary artery (Crystal et al, ; Koneti et al, ). This manifests clinically as congestive heart failure, as it did in our patient.…”

Section: Discussionmentioning

confidence: 99%

Double aortic arch anomalies in Children: A Systematic 20‐Year Single Center Study

et al. 2017

View full text Add to dashboard Cite

Aortic arch anomalies underlie numerous congenital disorders. Effectively diagnosing and treating them requires close understanding of cardiovascular embryology. As our Center serves the entire pediatric population of our country, we performed a comprehensive retrospective analysis of all aortic arch anomalies diagnosed at our Center over the past 20 years. We analyzed 40 children with aortic arch anomalies, distinguishing two defect types: Group 1 displayed ring-forming anomalies, and Group 2 other types of aortic arch anomalies that did not form a vascular ring. We performed detailed morphological analyses using echocardiography, angiography, computed tomography, or magnetic resonance imaging and generated a catalog of all aortic arch anomalies present. Group 1 was represented by 25 patients; 40% with persistent both aortic arches, and 60% with various forms of right aortic arch and an incomplete left aortic arch. Group 2 was represented by 15 patients with complex heart defects. On the basis of our dataset, the incidence of all aortic arch anomalies was 0.033%, and of ring-forming pathologies 0.021%. Although aortic arch anomalies are rare, it is important to diagnose them correctly. It is critical to distinguish ring-forming types. Although in complex defects the aortic arch anomaly represents only an additive diagnosis, its correct definition could be crucial for further management. Cumulatively, this unique, long-term study provides a systematic patient registry and offers critical epidemiological data to aid the study of rare congenital cardiovascular defects. Clin. Anat. 30:929-939, 2017. © 2017 Wiley Periodicals, Inc.

show abstract

“…The indication of surgery in asymptomatic patients is controversial. Patients with IABA and no associated CHD could be managed conservatively and be monitored clinically for signs and symptoms of vertebrobasilar insufficiency and limb ischemia closely, if the symptoms were not yet interfering with the activities of daily living (34,35). Ligation of the isolated artery could perhaps be performed in neonates and could limit the pulmonary over-circulation without any harm to the circulation of the corresponding arm.…”

Section: History Of Pregnancymentioning

confidence: 99%

Prenatal diagnosis of isolation of aortic brachiocephalic artery

et al. 2021

View full text Add to dashboard Cite

Background Isolated aortic brachiocephalic artery (IABA) is a rare congenital aortic arch anomaly. It is difficult to diagnose IABA prenatally and the prevalence in the prenatal population is unknown. Purpose To evaluate the echocardiographic characteristics and associations in fetuses with IABA. Material and Methods We retrospectively analyzed all cases of prenatal diagnosis of IABA from January 2012 to November 2020 and reviewed the follow-up results. Copy Number Variation Sequencing (CNV-Seq) was performed using the biological specimens of the of the fetuses and family members. Results Ten cases (10/45652, 0.022%) of IABA were identified in our center. The prevalence of the cases with isolated left subclavian artery (ILSCA) in the right aortic arch (RAA) population was 0.98% (6/613). The ILSCA was the most common isolated arch branch. All the isolated branches were on the opposite side of aortic arch in all the cases. The “ice stick” sign in the coronal section could be seen in most cases of IABA. Of the 10 cases, 8 (8/10, 80%) were associated with tetralogy of Fallot (TOF). Two cases of IABA were combined with 22q11.2 deletion syndrome. Conclusion IABA is a rare aortic anomaly. ILSCA was the most common isolated arch branch and TOF was the most common associated intra-cardiac anomaly. The “ice stick” sign in the coronal section could indicate a diagnosis of the IABA.

show abstract

Unmasking of an isolated right subclavian artery from the pulmonary artery after device occlusion of a patent arterial duct

Cited by 7 publications

References 12 publications

Clues to echocardiographic diagnosis of isolation of right subclavian artery in a patient with DiGeorge syndrome and its transcatheter management with its associated anomalies

Clues to echocardiographic diagnosis of isolation of right subclavian artery in a patient with DiGeorge syndrome and its transcatheter management with its associated anomalies

Double aortic arch anomalies in Children: A Systematic 20‐Year Single Center Study

Prenatal diagnosis of isolation of aortic brachiocephalic artery

Contact Info

Product

Resources

About