Subclavian artery stenting under cerebral protection by balloon-guiding catheter inflation inside the aortic arch at the left subclavian artery origin

Variations of the branches of aortic arch are due to alteration in the development of certain branchial arch arteries during embryonic period. Knowledge of these variations is important during aortic instrumentation, thoracic, and neck surgeries. In the present study we observed these variations in fifty-two cadavers from Indian populations. In thirty-three (63.5%) cadavers, the aortic arch showed classical branching pattern which includes brachiocephalic trunk, left common carotid artery, and left subclavian artery. In nineteen (36.5%) cadavers it showed variations in the branching pattern, which include the two branches, namely, left subclavian artery and a common trunk in 19.2% cases, four branches, namely, brachiocephalic trunk, left common carotid artery, left vertebral artery, and left subclavian artery in 15.3% cases, and the three branches, namely, common trunk, left vertebral artery, and left subclavian artery in 1.9% cases.

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Right-Sided Aortic Arch, Kommerell Diverticulum with Aberrant Left Subclavian Artery: Diagnosed by Prenatal Ultrasound and Postnatal Cardiovascular Casting

Authorea ◽

10.22541/au.158678538.82273595 ◽

2020 ◽

Author(s):

Jiaqi Zhang ◽

Yu Wang ◽

Wei Feng ◽

Ziyi Si ◽

Jinzhi Xu ◽

...

Keyword(s):

Aortic Arch ◽

Subclavian Artery ◽

Left Subclavian Artery ◽

Prenatal Ultrasound ◽

Aberrant Left Subclavian Artery ◽

Kommerell Diverticulum

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Right-sided aortic arch with anomalous origin of the left subclavian artery: Case report

Srpski arhiv za celokupno lekarstvo ◽

10.2298/sarh1110666v ◽

2011 ◽

Vol 139 (9-10) ◽

pp. 666-668 ◽

Cited By ~ 3

Author(s):

Goran Vucurevic ◽

Slobodan Tanaskovic ◽

Nenad Ilijevski ◽

Vladimir Kovacevic ◽

Vladimir Kecmanovic ◽

...

Keyword(s):

Aortic Arch ◽

Subclavian Artery ◽

Congenital Heart ◽

Carotid Arteries ◽

Internal Carotid ◽

Left Subclavian Artery ◽

Multislice Ct ◽

Carotid Artery Elongation ◽

Arterial Tension ◽

Internal Carotid Arteries

Introduction. A right-sided aortic arch is a rare congenital defect of the aorta with incidence of 0.05% to 0.1% reported in published series. Usually it is associated with congenital heart anomalies and esophageal and tracheal compression symptoms. We present a case of a right-sided aortic arch of anomalous left subclavian artery origin, accidentally revealed during multislice CT (MSCT) supraaortic branches angiography. Case Outline. A 53-year-old female patient was examined at the Outpatients? Unit of the Vascular Surgery University Clinic for vertigo, occasional dizziness and difficulty with swallowing. Physical examination revealed a murmur of the left supraclavicular space, with 15 mmHg lower rate of arterial tension on the left arm. Ultrasound of carotid arteries revealed 60% stenosis of the left subclavian artery and bilateral internal carotid artery elongation. MSCT angiography revealed a right-sided aortic arch with aberrant separation of the left subclavian artery that was narrowed 50%, while internal carotid arteries were marginally elongated. There was no need for surgical treatment or percutaneous interventions, so that conservative treatment was indicated. Conclusion. A right-sided aortic arch is a very rare anomaly of the location and branching of the aorta. Multislice CT angiography is of great importance in the diagnostics of this rare disease.

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Isolation of the Left Subclavian Artery in D-Transposition of the Great Arteries with Right Aortic Arch

Congenital Heart Disease ◽

10.32604/chd.2021.014516 ◽

2021 ◽

Vol 16 (4) ◽

pp. 369-371

Author(s):

Kotaro Hine ◽

Kohei Ogata ◽

Keiko Saitou ◽

Norio Mizukaki ◽

Hiroko Arai ◽

...

Keyword(s):

Aortic Arch ◽

Subclavian Artery ◽

Left Subclavian Artery ◽

Right Aortic Arch

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Ascending aorta and aortic root replacement in an infant: a case report

Patologiya krovoobrashcheniya i kardiokhirurgiya ◽

10.21688/1681-3472-2021-3-83-93 ◽

2021 ◽

Vol 25 (3) ◽

pp. 83

Author(s):

V. A. Mironenko ◽

V. S. Rasumovsky ◽

A. A. Svobodov ◽

S. V. Rychin

Keyword(s):

Carotid Artery ◽

Aortic Arch ◽

Subclavian Artery ◽

Aortic Root ◽

Common Carotid Artery ◽

Left Subclavian Artery ◽

Vascular Prosthesis ◽

Ascending Aorta ◽

Left Common Carotid Artery ◽

Brachiocephalic Trunk

We herein report the first clinical case of prosthetic replacement of the ascending aorta and aortic arch to repair a giant aneurysm in a 7-month-old child. The ascending aorta and arch replacement to the level of left subclavian artery was performed using a no. 16 Polymaille prosthesis, the brachiocephalic trunk was reimplanted into the vascular prosthesis and the kinked section of the left common carotid artery was removed, followed by reimplanting the left common carotid artery into the left subclavian artery. First, proximal anastomosis with the vascular prosthesis was created using a no. 16 Polymaille prosthesis and the vascular suture was strengthened with a Teflon strip. During circulatory arrest, the aortic arch was crossed between the orifice of the left common carotid artery and left subclavian artery, with the cut extended to the isthmus region along the small curvature of the arch. The brachiocephalic trunk was aligned and brought down, with subsequent implantation into the ascending aorta prosthesis 2 cm below the initial fixation point. In the final stage, the kinked section of the left common carotid artery was resected and the aligned left carotid artery was directly reimplanted into the left subclavian artery using end-to-side anastomosis. The patient developed tracheobronchitis and moderate heart failure during the postoperative period. The duration of mechanical ventilation was 16 hours. Infusion and antibacterial therapy were discontinued on postoperative day 8. On postoperative day 13, the patient was discharged and referred to the outpatient centre for further treatment and rehabilitation. A sufficiently large-sized prosthesis allows for further development in paediatric patients. This is facilitated by the preservation of the native aortic root with restored valve function and the formation of a bevelled distal anastomosis with a small unchanged aortic section in the isthmus region, which maintains growth potential. This first reported case of an infant demonstrates the possibility of combination interventions on the aortic arch and brachiocephalic artery during the first year of life.Received 30 January 2021. Revised 24 March 2021. Accepted 29 March 2021.Funding: The study did not have sponsorship.Conflict of interest: The authors declare no conflicts of interests.Contribution of the authors: The authors contributed equally to this article.

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