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An unusual presentation of isolation of the right subclavian artery

Published online by Cambridge University Press:  19 August 2008

Julian A. Smith ,
Michael J. Hirschklau  and
Bruce A. Reitz
Julian A. Smith
Affiliation:
From the Department of Cardiothoracic Surgery, Stanford University Medical Center, Stanford
Michael J. Hirschklau
Affiliation:
Department of Pediatric Cardiology, Santa Clara Valley Medical Center, San José
Bruce A. Reitz*
Affiliation:
From the Department of Cardiothoracic Surgery, Stanford University Medical Center, Stanford
*
Dr. Bruce A. Reitz, Department of Cardiothoracic Surgery, Stanford University Medical Center, Stanford, California, 94305-5247, USA. Tel. (415) 723-5771; Fax. (415) 725-3846.
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Summary

Isolation of the right subclavian artery from the aortic arch is a rare malformation. When isolated, the artery originates from the right pulmonary artery via a right-sided arterial duct, which may be patent or closed at the time of presentation. Intracardiac or other anomalies of the great vessels are commonly associated with this lesion. We present a case of isolation of the right subclavian artery which was initially diagnosed as persistent patency of a left-sided arterial duct. Surgical correction was eventually achieved by disconnecting the right subclavian artery from the right pulmonary artery and translocating it to the ascending aorta.

Keywords

Isolationright subclavian arteryaortic arch
Type
Brief Reports
Information
Cardiology in the Young , Volume 4 , Issue 2 , April 1994 , pp. 181 - 183
Copyright
Copyright © Cambridge University Press 1994

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References

1.Stewart, JR, Kincaid, OW, Edwards, JE. Malformations with left aortic arch (group II). Isolation of right subclavian artery from aorta with left, right or bilateral ductus arteriosus (sub-group TIC). In: An Atlas of Vascular Rings and Related Malformations of the Aortic Arch System. Charles C. Thomas, Springfield, 1964, pp 76–79.Google Scholar
2.Nugent, EW, Plauth, WH, Edwards, JE, Williams, WH. The pathology, abnormal physiology, clinical recognition, and medical and surgical treatment of congenital heart disease. In: Hurst, JW, Schiant, RC, Rackley, CE, Sonnenblick, EH, Wenger, NK (eds). The Heart, Arteries and Veins. 7th edition. McGraw-Hill, New York, 1990, pp 698–699.Google Scholar
3.Moore, KL. The cardiovascular system. In: The Developing Human. Clinically Orientated Embryology. 4th edition. W. B. Saunders Co., Philadelphia, 1988, pp 314–321.Google Scholar
4.Edwards, JE. Anomalies of the aortic arch system. Birth Defects 1977; 13: 47–63.Google ScholarPubMed
5.Barger, JD, Creasman, RW, Edwards, JE. Bilateral ductus arteriosus associated with interruption of the aortic arch. Am J Clin Pathol 1954; 54: 441–444.CrossRefGoogle Scholar
6.Nath, PH, Casteñeda-Zuniga, W, Zollikofer, C, Delanet, DJ, Fulton, RE, Amplatz, K, Edwards, JE. Isolation of a subclavian artery. Am J R 1981; 137: 683–688.Google ScholarPubMed
7.Brill, CB, Peyster, RG, Keller, MS, Galtman, L. Isolation of the right subclavian artery with subclavian steal in a child with Klippel-Feil anomaly: an example ofthe subclavian artery supply disruption sequence. Am J Med Genet 1987; 26: 933–940.CrossRefGoogle Scholar
8.Mathieson, JR, Silver, SF, Culham, JAG. Isolation of the right subclavian artery. Am J R 1988; 151: 781–782.Google ScholarPubMed
9.Hofbeck, M, Rupprecht, T, Reif, R, Singer, H. Isolation of the subclavian artery: a rare cause of the subclavian steal syndrome in infancy. Monatsschr Kinderheilkd 1991; 139: 363–365.Google Scholar
10.Baudet, E, Roques, XF, Guibaud, J, Laborde, N, Choussat, A. Isolation of the right subclavian artery. Ann Thorac Surg 1992; 53: 501–503.CrossRefGoogle ScholarPubMed