Unusual Combination of Anomalous Connection of the Left Pulmonary Veins and Aortic Arch Anomaly Presenting as Abnormal Three Vessel View in the 2nd Trimester US Scan

Congenital aortic arch malformations manifest a broad-spectrum of differences and abnormalities that come from disturbed embryogenesis of branchial arches. Current case was a 10 months old baby girl with length of 69 cm (less than –3 SD) and weight of 5.5 kg (less than –3 SD). The patient had history of recurrent lower respiratory tract infections since the time of birth and failure to gain adequate weight since the time of birth. The patient has been having multiple check-ups with registered medical practitioners in the nearby locality and multiple courses of antibiotics with only partial resolution of symptoms. The 2-D echocardiogram showed her to be a case of supracardiac type of “Total Anomalous Pulmonary Venous Return (TAPVR)”. All pulmonary veins making a confluence and draining into the right atrium. Significant turbulence observed at the level of superior vena cava to right atrium junction. A level of obstruction was recorded at the junction of the confluence of pulmonary veins and the vertical vein. There was aberrant right subclavian artery from the aortic arch as its third branch with no obstruction or aneurysm formation, having retrotracheal and esophageal course.

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Right aortic arch and isolated left innominate artery from a left sided patent ductus arteriosus: a very rare aortic arch anomaly

Journal of Pediatric Surgery ◽

10.1016/j.jpedsurg.2009.01.002 ◽

2009 ◽

Vol 44 (4) ◽

pp. e29-e31 ◽

Cited By ~ 10

Author(s):

Emmanuel Le Bret ◽

Bertrand Leobon ◽

François Roubertie ◽

Anne Sigal-Cinqualbre ◽

Bertrand Stos ◽

...

Keyword(s):

Patent Ductus Arteriosus ◽

Aortic Arch ◽

Ductus Arteriosus ◽

Innominate Artery ◽

Right Aortic Arch ◽

Aortic Arch Anomaly ◽

Patent Ductus

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The Cervical Aortic Arch Anomaly

Angiology ◽

10.1177/000331977502601007 ◽

1975 ◽

Vol 26 (10) ◽

pp. 749-758 ◽

Cited By ~ 2

Author(s):

Roger A. Hyman ◽

Harry L. Stein

Keyword(s):

Aortic Arch ◽

Aortic Arch Anomaly

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Klippel-Feil syndrome and supra-aortic arch anomaly: A case report

International Journal of Angiology ◽

10.1055/s-0031-1278292 ◽

2011 ◽

Vol 17 (02) ◽

pp. 109-111 ◽

Cited By ~ 7

Author(s):

Ayilam S Sudhakar ◽

Vinh T Nguyen ◽

John B Chang

Keyword(s):

Case Report ◽

Aortic Arch ◽

Aortic Arch Anomaly

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Kommerell’s Diverticulum With a Twist: A Case of Recurrent Wheeze in an 8-Year-Old Boy

Global Pediatric Health ◽

10.1177/2333794x19897506 ◽

2019 ◽

Vol 6 ◽

pp. 2333794X1989750

Author(s):

Tiffany Amber Robles ◽

Aditya Srinivasan ◽

Lynnette Mazur ◽

Anand Gourishankar

Keyword(s):

Aortic Arch ◽

Pediatric Patient ◽

Respiratory Symptoms ◽

Vascular Ring ◽

Anatomical Variant ◽

Vascular Abnormalities ◽

Aortic Arch Anomaly ◽

Asthma Exacerbations ◽

Kommerell’S Diverticulum ◽

Recurrent Wheeze

Kommerell’s diverticulum is a rare, congenital aortic arch anomaly, usually associated with other vascular abnormalities. When present with a concurrent right-sided aortic arch and an aberrant subclavian artery, this triad can form a vascular ring that encompasses the trachea and esophagus. This anatomical variant is usually asymptomatic but can present with respiratory symptoms due to compression of the trachea. In this report, we discuss a case of a Kommerell’s diverticulum, which presented as frequent and recurring asthma exacerbations in a pediatric patient.

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