Hostname: page-component-cd9895bd7-q99xh Total loading time: 0 Render date: 2024-12-22T13:21:44.075Z Has data issue: false hasContentIssue false
  • English
  • Français

Isolated origin of the left subclavian artery from the left pulmonary artery

Published online by Cambridge University Press:  19 August 2008

Jennifer L Russell ,
Jeffrey F. Smallhorn ,
Michael D. Black  and
Lisa K. Hornberger
Jennifer L Russell*
Affiliation:
Hospital for Sick Children Divisions of Paediatric cardiology and cardiovascular Surgery, Toronto, Ontario, Canada
Jeffrey F. Smallhorn
Affiliation:
Hospital for Sick Children Divisions of Paediatric cardiology and cardiovascular Surgery, Toronto, Ontario, Canada
Michael D. Black
Affiliation:
Hospital for Sick Children Divisions of Paediatric cardiology and cardiovascular Surgery, Toronto, Ontario, Canada
Lisa K. Hornberger
Affiliation:
Hospital for Sick Children Divisions of Paediatric cardiology and cardiovascular Surgery, Toronto, Ontario, Canada
*
Dr. J F Smallhorn, Hospital for Sick Children, Division of Cardiology, 555 University Avenue, Toronto, Ontario, CanadaM5G lX8 Tel 416–813–7500, Fax 416–813–7547
Get access Rights & Permissions [Opens in a new window]

Abstract

We describe two children with isolated origin of the left subclavian artery from the left pulmonary artery detected by echocardiography during the assessment of their congenital cardiac malformations. Both patients demonstrated pre-operative evidence of subclavian steal. This entity results from persistence of the dorsal segment of the sixth left arch, with regression of the left fourth arch and interruption of the left dorsal arch distal to the origin of the seventh left intersegmental artery. The significance of this finding relates to the potential for pulmonary overcirculation, which could have significant post-operative ramifications if not detected prior to surgical repair of an associated cardiac malformation. This entity differs from cases with a right aortic arch and aberrant left subclavian artery which has the potential to form a vascular ring, unlike cases with isolated origin of the left subclavian artery from the pulmonary artery that do not cause compression of the airway.

Keywords

Anomalous subclavian arterysubclavian steal
Type
Original Articles
Information
Cardiology in the Young , Volume 10 , Issue 2 , March 2000 , pp. 120 - 125
Copyright
Copyright © Cambridge University Press 2000

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.Paquet, M, Williams, RI. Origin of the right subclavian artery from the right pulmonary artery in a newborn with complete transposition of the great arteries. Can J Cardiol 1994; 10: 932–934.Google Scholar
2.Law, Y, Smallhorn, J, Adatia, I. Echocardiographic delineation of anomalous origin of the right subclavian artery from the right pulmonary artery. Cardiol Young 1997; 7: 328–330.Google Scholar
3.Kutsche, LM, van Mierop, LHS. Cervical origin of the right subclavian artery in aorric arch interruption: Pathogenesis and significance. AmJ Cardiol 1984; 53: 892–895.Google ScholarPubMed
4.Edwards, JE. Anomalies of the derivatives of the aortic arch system. Med Clin North Am 1948; 33: 925–949.CrossRefGoogle Scholar
5.Pieroni, DR, Brodsky, ST, Rowe, RD. Congenital subclavian steal: Report of a case occurring in a neonate and review of the literature. Am Hearr J 1972; 84: 801–807.Google Scholar
6.Knight, L, Edwards, J. Right aortic arch Types and associated cardiac anomalies. Circulation 1974; 50: 1047–1051.Google ScholarPubMed