scholarly journals Right-sided aortic arch with isolated left subclavian artery leading to subclavian steal syndrome

2016 ◽  
Vol 64 (1) ◽  
pp. 233-234 ◽  
Author(s):  
Mohammed M. Ahmed ◽  
Dustin Y. Yoon ◽  
Shamit S. Desai ◽  
William H. Pearce
Keyword(s):  
Aortic Arch ◽  
Subclavian Artery ◽  
Left Subclavian Artery ◽  
Subclavian Steal Syndrome ◽  
Subclavian Steal ◽  
Steal Syndrome

scholarly journals Aberrant left subclavian artery occlusion in right-sided aortic artery associated with left cerebral infarction: A case report

2018 ◽  
Vol 24 (3) ◽  
pp. 322-326 ◽  
Author(s):  
Akira Tempaku ◽  
Terumasa Kuroiwa ◽  
Akimasa Nishio
Keyword(s):  
Ischemic Stroke ◽  
Aortic Arch ◽  
Subclavian Artery ◽  
Left Subclavian Artery ◽  
Cervical Region ◽  
Subclavian Steal Syndrome ◽  
Collateral Flow ◽  
Subclavian Steal ◽  
Aberrant Left Subclavian Artery ◽  
Left Limb

Purpose Right-sided aortic arch is a rare vessel anomaly with an incidence of 0.1% worldwide. Supra-aortic branches form a mirror image of the left-sided aortic arch or an aberrant left subclavian artery associated with Kommerell diverticulum. Most patients are diagnosed by a difference in blood pressure in each upper extremity or by the presence of left subclavian steal syndrome in their younger age. The diagnosis of onset of ischemic stroke in middle age is rare. Methods We present the case of a female patient who presented with an ischemic stroke in the left posterior circulation area. She had no history of congenital heart malformation. We performed head magnetic resonance imaging, cerebral angiography, and enhanced computed tomography of the aortic arch and major branches. Results The patient had a right-sided aortic arch and an aberrant left subclavian artery. The left subclavian artery was occluded at the proximal portion with a fibrous string. Collateral flow in the anterior cervical subcutaneous area supported left limb perfusion. Conclusion An atheromatous change reduced shunt flow via collateral networks at the anterior cervical region. Congenital subclavian steal supported the ischemic stroke.

scholarly journals Isolated Left Subclavian Artery, Multiple Ventricular Septal Defects and Pulmonary Hypertension In A Child: A Case Report

2021 ◽  
Author(s):  
Mohammadreza Khalilian ◽  
Manouchehr Hekmat ◽  
Saeed Sadr ◽  
Abdolhossein Tavallai-Zavvareh ◽  
Tahmineh Tahouri
Keyword(s):  
Pulmonary Hypertension ◽  
Aortic Arch ◽  
Subclavian Artery ◽  
Left Subclavian Artery ◽  
Heart Defects ◽  
Ductus Arteriosus ◽  
Subclavian Steal Syndrome ◽  
Ventricular Septal Defects ◽  
Septal Defects ◽  
Steal Syndrome

Abstract solated left subclavian artery is a rare congenital aortic arch anomaly in which the left subclavian artery is connected to the pulmonary artery via a patent Ductus Arteriosus or a remnant of it, instead of the arota. Generally, it is associated with the right aortic arch and other congenital heart defects, mostly tetralogy of Fallot. Isolated left subclavian artery can cause subclavian steal syndrome, pulmonary steal syndrome and size or blood pressure discrepancy between the two upper limbs. We present a 14-months-old infant with isolated left subclavian artery, multiple ventricular septal defects and pulmonary hypertension. To our knowledge, it is a rare anomaly which can influence the surgical planning and outcomes.

Sign in / Sign up

Export Citation Format

Share Document