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Atresia of the aortic arch, with a collateral artery from the right subclavian artery supplying the descending aorta

Published online by Cambridge University Press:  20 December 2007

Béatrice Bonello ,
Olivier Ghez  and
Alain Fraisse
Béatrice Bonello
Affiliation:
Département de Cardiologie (Pédiatrique), Hôpital de la Timone, Marseille
Olivier Ghez
Affiliation:
Service de Chirurgie Thoracique et Cardiovasculaire, Hôpital d’Enfants de la Timone, Marseille, France
Alain Fraisse*
Affiliation:
Département de Cardiologie (Pédiatrique), Hôpital de la Timone, Marseille
*
Correspondence to: Alain Fraisse, Département de Cardiologie, Hôpital de la Timone, Boulevard Jean Moulin, 13005 Marseille, France. Tel: +33 491 38 67 50; Fax: +33 491 38 56 38; E-mail: alain.fraisse@ap-hm.fr
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Abstract

An infant of 2 months presented with absence of the femoral pulses, albeit with no signs of cardiac failure. The mother was known to have ingested Valproate during pregnancy. Echocardiography showed the aortic arch to be interrupted between the left common carotid and left subclavian arteries, so-called type B interruption, in the setting of an intact ventricular septum. Angiography, and multislice computed tomography, revealed the descending aorta to be supplied by a collateral artery originating from the right subclavian artery. Corrective surgery was successfully performed, but revealed an atretic segment of the arch at the site of interruption of flow.

Keywords

Multi-slice computed angiographyvalproatesurgery
Type
Brief Report
Information
Cardiology in the Young , Volume 18 , Issue 1 , February 2008 , pp. 105 - 107
Copyright
Copyright © Cambridge University Press 2008

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References

1. Collins-Nakai, RL, Dick, M, Parisi-Buckley, L, Fyler, DC, Castaneda, AR. Interrupted aortic arch in infancy. J Pediatr 1976; 88: 959–962.CrossRefGoogle ScholarPubMed
2. Celoria, GC, Patton, RB. Congenital absence of the aortic arch. Am Heart J 1959; 58: 407–413.CrossRefGoogle ScholarPubMed
3. Freedom, RM, Bain, HH, Esplugas, E, Sische, R, Rowe, RD. Ventricular septal defect in interruption of aortic arch. J Am Coll Cardiol 1977; 39: 572–582.CrossRefGoogle ScholarPubMed
4. Bergweff, M, DeRuiter, MC, Hall, S, Poelmann, RE, Gittenberger-de Groot, AC. Unique vascular morphology of the fourth aortic arches: possible implications for pathogenesis of type B aortic arch interruption and anomalous right subclavian artery. Cardiovasc Res 1999; 44: 185–196.CrossRefGoogle Scholar
5. Lewin, MB, Lindsay, EA, Jurecic, V, Goytia, V, Towbin, JA, Baldini, A. A genetic etiology for interruption of the aortic arch type B. Am J Cardiol 1997; 80: 493–497.CrossRefGoogle ScholarPubMed
6. Meador, KJ, Baker, GA, Finnell, RH, et al. . In utero antiepileptic drug exposure: fetal death and malformations. Neurology 2006; 67: 407–412.CrossRefGoogle ScholarPubMed
7. Starreveld, JS, van Rossum, AC, Hruda, J. Rapid formation of collateral arteries in a neonate with interruption of the aortic arch. Cardiol Young 2001; 11: 464–467.CrossRefGoogle Scholar
8. Kaulitz, R, Jonas, RA, Van der Velde, ME. Echocardiographic assessment of interrupted aortic arch. Cardiol Young 1999; 9: 562–571.CrossRefGoogle ScholarPubMed
9. Messner, G, Reul, GJ, Flamm, SD, Gregoric, ID, Opfermann, UT. Interrupted aortic arch in an adult repaired by singlestage extra-anatomic repair. Tex Heart Inst J 2002; 29: 118–121.Google Scholar
10. Varghese, A, Gatzoulis, M, Mohiaddin, RH. Magnetic resonance angiography of a congenital interrupted aortic arch. Circulation 2002; 106: 9–10.CrossRefGoogle ScholarPubMed