Hostname: page-component-cd9895bd7-7cvxr Total loading time: 0 Render date: 2024-12-22T23:33:54.195Z Has data issue: false hasContentIssue false
  • English
  • Français

Isolated right subclavian artery arising from the right pulmonary artery via a right-sided ductus arteriosus with associated pulmonary steal phenomenon

Published online by Cambridge University Press:  26 July 2011

Stephen G. Miller ,
Michael J. Campbell ,
Piers C.A. Barker  and
Kevin D. Hill
Stephen G. Miller
Affiliation:
Division of Pediatric Cardiology, Department of Pediatrics, Duke University Medical Center, Durham, North Carolina, United States of America
Michael J. Campbell
Affiliation:
Division of Pediatric Cardiology, Department of Pediatrics, Duke University Medical Center, Durham, North Carolina, United States of America
Piers C.A. Barker
Affiliation:
Division of Pediatric Cardiology, Department of Pediatrics, Duke University Medical Center, Durham, North Carolina, United States of America
Kevin D. Hill*
Affiliation:
Division of Pediatric Cardiology, Department of Pediatrics, Duke University Medical Center, Durham, North Carolina, United States of America
*
Correspondence to: Dr K. Hill, Division of Pediatric Cardiology, Department of Pediatrics, Duke University Medical Center, PO Box 3090, Durham, North Carolina 27710, United States of America. Tel: (919) 681 2880; Fax: 001919 681 8927; E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

We present a patient with DiGeorge syndrome and an isolated right subclavian artery arising from the right pulmonary artery via a right-sided ductus arteriosus. The patient showed a subclavian and pulmonary steal with perfusion of the right arm and right lung via retrograde circulation in the right vertebral artery. The patient underwent successful surgical repair.

Keywords

Arch anomaliesDiGeorge syndromesubclavian steal
Type
Brief Reports
Information
Cardiology in the Young , Volume 22 , Issue 2 , 02 March 2012 , pp. 216 - 218
Copyright
Copyright © Cambridge University Press 2011

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.Edwards, JE. Anomalies of the derivatives of the aortic arch system. Med Clin North Am 1948; 32: 925–949.Google Scholar
2.Momma, K. Isolation of the subclavian artery associated with chromosome 22q11 deletion. Cardiol Young 1999; 9: 233–235.CrossRefGoogle ScholarPubMed
3.Luetmer, 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
4.Jones, TK, Garabedian, H, Grifka, RG. Right aortic arch with isolation of the left subclavian artery, moderate patent ductus arteriosus, and subclavian steal syndrome: a rare aortic arch anomaly treated with the Gianturco–Grifka vascular occlusion device. Catheter Cardiovasc Interv 1999; 47: 320–322.Google Scholar
5.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 of the subclavian artery supply disruption sequence. Am J Med Genet 1987; 26: 933–940.Google Scholar
6.Keagy, KS, Schall, SA, Herrington, RT. Selective cyanosis of the right arm. Isolation of right subclavian artery from aorta with bilateral ductus arteriosus and pulmonary hypertension. Pediatr Cardiol 1982; 3: 301–303.Google Scholar
7.Garti, IJ, Aygen, MM. Left aortic arch with congenital isolation of the right subclavian artery. Pediatr Radiol 1980; 9: 241–243.Google Scholar
8.Stewart, JR, Kincaid, OW, Titus, JL. Right aortic arch: plain film diagnosis and significance. Am J Roentgenol Radium Ther Nucl Med 1966; 97: 377–389.Google Scholar
9.Nath, H. Isolation of the right subclavian artery. Am J Roentgenol 1989; 152: 430–431.CrossRefGoogle ScholarPubMed
10.Heidrich, H, Bayer, O. Symptomatology of the subclavian steal syndrome. Angiology 1969; 20: 406–413.Google Scholar