Hostname: page-component-586b7cd67f-t8hqh Total loading time: 0 Render date: 2024-11-22T23:27:24.125Z Has data issue: false hasContentIssue false

Left-sided aortic arch, right-sided descending aorta, and right-sided arterial duct associated with interruption of the aortic arch and presence of Abbott’s artery

Published online by Cambridge University Press:  27 June 2007

Kemal Nisli*
Affiliation:
Department of Pediatric Cardiology, Istanbul University, Istanbul Medical Faculty, Istanbul, Turkey
Umrah Aydogan
Affiliation:
Department of Pediatric Cardiology, Istanbul University, Istanbul Medical Faculty, Istanbul, Turkey
Turkan Tansel
Affiliation:
Department of Cardiovascular Surgery, Istanbul University, Istanbul Medical Faculty, Istanbul, Turkey
*
Correspondence to: Kemal Nisli, MD, Ataköy 9. kýsým A5/A blok D: 37, 34150, Bakýrköy, Istanbul, Turkey. Tel: +90 532 350 51 12; Fax: +90 212 414 21 96; E-mail: [email protected]

Abstract

We describe a male infant, seen at the age of 10 days, with a very rare form of vascular ring. The aortic arch was left-sided, but the aorta descended on the right, with a right-sided persistently patent arterial duct associated with interruption of the aortic arch and presence of Abbott’s artery. We performed end-to-side anastomosis of the descending aorta to the ascending aorta, divided the Abbott’s artery and the right-sided arterial duct, and banded the pulmonary trunk. Despite our best efforts, the patient died on the eighth day after the surgical intervention.

Type
Brief Report
Copyright
Copyright © Cambridge University Press 2007

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

Sources of financial support: None.

References

1. Humphrey, C, Duncan, K, Fletcher, S. Decade of experience with vascular rings at a single institution. Pediatrics 2006; 117: e903e908.CrossRefGoogle ScholarPubMed
2. Roberts, CS, JrOthersen, HB, Sade, RM, 3rdSmith, CD, Tagge, EP, JrCrawford, FA. Tracheoesophageal compression from aortic arch anomalies: analysis of 30 operatively treated children. J Pediatr Surg 1994; 29: 334338.Google Scholar
3. Edwards, JE. Anomalies of the derivates of the aortic system. Med Clin North Am 1948; 32: 925949.CrossRefGoogle Scholar
4. Planche, C, Roussin, R, Paul, JF, Belli, E, Serraf, A. A rare form of aortic arch anomaly: left aortic and right descending aortic arch. Arch Mal Coeur Vaiss 2004; 97: 549553.Google Scholar
5. Camilleri, L, Legault, B, Boyer, L, Bailly, P, Lusson, JR, de Riberolles, C. Interruption of the left aortic arch with right descending thoracic aorta disclosed in adulthood. Arch Mal Coeur Vaiss 2004; 87: 679681.Google Scholar
6. Lerberg, DB. Abbott’s artery. Ann Thorac Surg 1982; 33: 415416.Google Scholar
7. Hamilton, WF, Abbott, ME. Coarctation of the aorta of the adult type. Am Heart J 1928; 3: 381421.CrossRefGoogle Scholar
8. Schuster, SR, Gross, RE. Surgery for coarctation of the aorta. A review of 500 cases. J Thorac Cardiovasc Surg 1962; 43: 5470.CrossRefGoogle ScholarPubMed
9. Arciniegas, E, Hakimi, M, Hertzler, JH, Farooki, ZQ, Green, EW. Surgical management of congenital vascular rings. J Thorac Cardiovasc Surg 1979; 77: 721727.CrossRefGoogle ScholarPubMed