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Isolation of the left subclavian artery: a rare aortic arch anomaly

Published online by Cambridge University Press:  24 September 2014

Mahesh K. Saktheeswaran ,
Kavaserry Mahadevan Krishnamoorthy  and
Sivasubramonian Sivasankaran
Mahesh K. Saktheeswaran*
Affiliation:
Department of Cardiology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
Kavaserry Mahadevan Krishnamoorthy
Affiliation:
Department of Cardiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, India
Sivasubramonian Sivasankaran
Affiliation:
Department of Cardiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, India
*
Correspondence to: Dr M. K. Saktheeswaran, MD, DM (Cardiology), Department of Cardiology, Jawaharlal Institute of Postgraduate Medical Education and Research, Dhanvantrinagar Post, Gorimedu, Puducherry 605006, India. Tel: +91 915 949 4128; Fax: 04132279672; E-mail: [email protected]
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Abstract

Isolation of the left subclavian artery is a rare anomaly associated with acyanotic CHDs and right aortic arch. This condition can be asymptomatic or can present with neurological and left upper-limb ischaemic symptoms; it does not form a vascular ring. Treatment options include implantation of the subclavian artery to the aortic arch vessels and closure of the patent ductus arteriosus to prevent pulmonary run off. Here we describe a child who was incidentally detected to have this condition during evaluation of atrial septal defect for device closure.

Keywords

Isolation of the left subclavian arteryatrial septal defectdevice closure
Type
Brief Reports
Information
Cardiology in the Young , Volume 25 , Supplement 6 , August 2015 , pp. 1203 - 1205
Copyright
© Cambridge University Press 2014 

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References

1. Killen, DA, Battersby, EJ, Klatte, EC. Subclavian steal syndrome due to anomalous isolation of the left subclavian artery. Arch Surg 1972; 104: 342–344.Google Scholar
2. Mar Anho, V, Gooch, AS, Ablaza, SGG, Nakhjaha, NFK, Goldberg, H. Case report: congenital subclavian steal syndrome associated with right aortic arch. Br Heart J 1968; 30: 875.Google Scholar
3. Stewart, JR, Kincaid, OW, Edwards, JE. An Atlas of Vascular Rings and Related Malformations of the Aortic Arch System. Charles C Thomas, Springfield, Illinois, 1964.Google Scholar
4. Leutmer, PH, Miller, GM. Right aortic arch with isolation of the left subclavian artery: case report and review of the literature. Mayo Clin Proc 1990; 65: 407–413.Google Scholar
5. Schena, S, Gandhi, SK. Isolated left subclavian artery. Ann Thorac Surg 2008; 86: 1697.Google Scholar
6. Konstantinov, IE, Saxena, P, d’Udekem, Y. Isolated subclavian artery: anatomical and surgical considerations. Ann Thorac Surg 2009; 88: 1685–1687.Google Scholar

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