Hostname: page-component-cd9895bd7-jkksz Total loading time: 0 Render date: 2024-12-23T08:54:13.395Z Has data issue: false hasContentIssue false

An unusual case of interrupted cervical aortic arch associated with long segment coarctation of the descending thoracic aorta

Published online by Cambridge University Press:  09 February 2018

Mousam Dey*
Affiliation:
Department of Radiology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India
Naveen Garg
Affiliation:
Department of Cardiology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India
Sunil Kumar
Affiliation:
Department of Radiology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India
*
Correspondence to: Dr Mousam Dey, MD, Department of Radiology, Sanjay Gandhi PGIMS, Raibareli Road, Lucknow 226014, India. Tel: +800 514 5010; E-mail: [email protected]

Abstract

Interrupted aortic arch is a rare congenital anomaly in newborns and infants and is commonly associated with other cardiovascular anomalies. Here, we report an unusual case of type A interrupted cervical aortic arch associated with long segment coarctation of the descending thoracic aorta. Patent ductus arteriosus reconstituted the descending thoracic aorta. Proximal segments of the left common carotid and left subclavian arteries were atretic. Echocardiography-gated multidetector CT angiography not only identified the type of aortic arch interruption in the neonate but also delineated the exact anatomical details.

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.)

References

1. Reardon, MJ, Hallman, GL, Cooley, DA. Interrupted aortic arch: brief review and summary of an eighteen-year experience. Tex Heart Inst J 1984; 11: 250259.Google Scholar
2. Celoria, GC, Patton, RB. Congenital absence of the aortic arch. Am Heart J 1959; 58: 407413.Google Scholar
3. Shirani, S, Soleymanzadeh, M. Diagnosis of aortic interruption by CT angiography. Pol J Radiol 2013; 78: 7274.Google Scholar
4. VanPraagh, R, Bernhard, WF, Rosenthal, A, Parisi, LF, Fyler, DC. Interrupted aortic arch: surgical treatment. Am J Cardiol 1971; 27: 200210.Google Scholar
5. Ho, SY, Wilcox, BR, Anderson, RH, Lincoln, JC. Interrupted aortic arch: anatomical features of surgical significance. Thorac Cardiovasc Surg 1983; 31: 199205.Google Scholar
6. Everts-Suacey, EA, Carson, CP. The triad of congenital absence of aortic arch (isthmus aortae), patent ductus arteriosus and ventricular septal defect: a trilogy. Ann Surg 1959; 150: 153159.CrossRefGoogle Scholar
7. Kumar, S, Mandalam, KR, Unni, M, Roy, S, Gupta, AK, Rao, VR. Left cervical aortic arch and associated abnormalities. Cardiovasc Intervent Radiol 1989; 12: 8891.Google Scholar

Dey et al. supplementary material 1

Supplementary Video

Download Dey et al. supplementary material 1(Video)
Video 10.7 MB