Hostname: page-component-cd9895bd7-q99xh Total loading time: 0 Render date: 2024-12-28T17:26:40.544Z Has data issue: false hasContentIssue false

Atretic anomalous left subclavian artery as part of an unusual vascular ring

Published online by Cambridge University Press:  26 October 2018

Shannon K. Powell*
Affiliation:
Department of Pediatric Cardiology, Indiana University School of Medicine, Indianapolis, IN, USA
Jyoti K. Patel
Affiliation:
Department of Pediatric Cardiology, Indiana University School of Medicine, Indianapolis, IN, USA
Eric S. Ebenroth
Affiliation:
Department of Pediatric Cardiology, Indiana University School of Medicine, Indianapolis, IN, USA
*
Author correspondence: Shannon K. Powell, Department of Pediatric Cardiology, Riley Hospital for Children at Indiana University Health, 705 Riley Hospital Drive, Indianapolis, IN 46202, USA. Tel: (317) 274-8906; Fax: (317) 274-9722; E-mail: shannon.powell@cchmc.org

Abstract

In this report, a unique case of a symptomatic vascular ring formed by right aortic arch, aberrant left subclavian artery, and left ligamentum arteriosus in which there is atresia of the proximal left subclavian artery is described. Imaging modalities were non-diagnostic and the patient was sent to surgery based on strong clinical suspicion. Her anatomy was delineated in the operating room and the ring was successfully repaired.

Type
Brief Report
Copyright
© Cambridge University Press 2018 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Cite this article: Powell SK, Patel JK, Ebenroth ES. (2018). Atretic anomalous left subclavian artery as part of an unusual vascular ring. Cardiology in the Young29: 85–87. doi: 10.1017/S1047951118001737

References

1. Hanneman, K, Newman, B, Chan, F. Congenital variants and anomalies of the aortic arch. Radiographics 2017; 37: 3251.Google Scholar
2. Naimo, P, Fricke, T, Donald, J, et al. Long-term outcomes of complete vascular ring division in children: a 36-year experience from a single institution. Interact Cardiovasc Thorac Surg 2016; 24: 234239.Google Scholar
3. Tola, H, Ozturk, E, Yildiz, O, et al. Assessment of children with vascular ring. Pediatr Int 2017; 59: 134140.Google Scholar
4. Gould, SW, Rigsby, CK, Donnelly, LF, et al. Useful signs for the assessment of vascular rings on cross-sectional imaging. Pediatr Radiol 2015; 45: 20042016.Google Scholar
5. Shuford, W, Sybers, R, Gordon, I, et al. Circumflex retroesophageal right aortic arch simulating mediastinal tumor or dissecting aneurysm. Am J Roentgenol 1986; 146: 491496.Google Scholar
6. Mamopoulos, A, Luther, B.. Congenital subclavian steal syndrome with multiple cerebellar infarctions caused by an atypical circumflex retroesophageal right aortic arch with atretic aberrant left subclavian artery. J Vasc Surg 2013; 60: 776779.Google Scholar
7. Borushok, M, White, R, Oh, K, et al. Congenital subclavian steal. Am J Roentgenol 1974; 121: 559564.Google Scholar