Interrupted fourth aortic arch with persistent fifth aortic arch and aortic coarctation—treatment with balloon angioplasty combined with surgery

1994 ◽  
Vol 4 (3) ◽  
pp. 304-306 ◽  
Author(s):  
Raul Jurí ◽  
Luis Eduardo Alday ◽  
Roberto De Rossi
Keyword(s):  
Aortic Arch ◽  
Subclavian Artery ◽  
Balloon Angioplasty ◽  
Aortic Coarctation ◽  
Left Subclavian Artery ◽  
Balloon Dilation ◽  
Descending Aorta ◽  
Persistent Fifth Aortic Arch

AbstractA symptomatic neonate was referred for aortic coarctation and, at cineangiography, was shown to have an interruption of the aortic arch at the isthmus together with coarctation related to a persistent fifth aortic arch. Balloon dilation of the coarctation was performed, but the coarctation was still evident after six months. A graft was then interposed between the left subclavian artery and the descending aorta. Balloon dilation was repeated five years later leaving a residual gradient of 11 mm Hg.

Reverse Subclavian Flap Repair and Maintenance of Antegrade Blood Flow within the Left Subclavian Artery in Neonates with Aortic Coarctation and Distal Arch Hypoplasia

2013 ◽  
Vol 16 (1) ◽  
pp. 52 ◽  
Author(s):  
Yuri S. Sinelnikov ◽  
A. V. Gorbatyh ◽  
S. M. Ivantsov ◽  
M. S. Strelnikova ◽  
I. A. Kornilov ◽  
...  
Keyword(s):  
Blood Flow ◽  
Cardiopulmonary Bypass ◽  
Aortic Arch ◽  
Subclavian Artery ◽  
Aortic Coarctation ◽  
Left Subclavian Artery ◽  
Surgical Palliation ◽  
Flap Repair ◽  
Neonates And Infants ◽  
Aortic Arch Hypoplasia

Surgical palliation for aortic coarctation with aortic arch hypoplasia in neonates and infants has been used in the clinic as the most beneficial treatment for this disorder. This technique allows the correction of aortic coarctation by the use of "extended" anastomosis without cardiopulmonary bypass, which expands the hypoplastic distal aortic arch via the use of a reverse subclavian flap repair. This technique maintains antegrade blood flow within the left subclavian artery.

Chetham-platinum-covered stent, aortic coarctation, and left subclavian artery: sometimes is there one too many?

2019 ◽  
Vol 29 (10) ◽  
pp. 1302-1304
Author(s):  
Vincenzo Tufaro ◽  
Gianfranco Butera
Keyword(s):  
Subclavian Artery ◽  
Balloon Angioplasty ◽  
Aortic Coarctation ◽  
Left Subclavian Artery ◽  
Percutaneous Treatment ◽  
Artery Occlusion ◽  
Covered Stent ◽  
Stent Deployment ◽  
New Approach ◽  
Subclavian Artery Occlusion

AbstractA new approach was used in the percutaneous treatment of two patients with severe recoarctation involving the origin of the left subclavian artery. A tiny handmade fenestration was created in a NuMED-covered Cheatham-platinum stent before its implantation to avoid left subclavian artery occlusion. The stent placement was performed using a two-guidewire technique in which the different stiffness helped a proper positioning of the stent. After the stent deployment, the fenestration was enlarged performing a balloon angioplasty to improve flow in left subclavian artery.

Repair of Rare Vascular Ring: Circumflex Aortic Arch with Associated Hypoplasia and Coarctation

2019 ◽  
Vol 11 (2) ◽  
pp. 235-237
Author(s):  
David C. Mauchley ◽  
Julia Massey Stiegler ◽  
Luz A. Padilla ◽  
Zviadi Aburjania ◽  
Robet Dabal ◽  
...  
Keyword(s):  
Aortic Arch ◽  
Subclavian Artery ◽  
Left Subclavian Artery ◽  
Ductus Arteriosus ◽  
Vascular Ring ◽  
Median Sternotomy ◽  
Surgical Correction ◽  
Descending Aorta ◽  
Aberrant Left Subclavian Artery

We describe a neonate with an unusual vascular ring formed by a right-sided aortic arch with associated coarctation and distal hypoplasia in the presence of an aberrant left subclavian artery. The descending aorta traveled behind the esophagus to descend on the left side of the spine. A left ductus arteriosus connected to the descending aorta completing the vascular ring, with notable esophageal compression. Surgical correction was accomplished through median sternotomy, resection of the hypoplastic circumflex arch, aortic arch advancement, and end-to-side anastomosis.

scholarly journals Persistent fifth aortic arch associated with aortic coarctation: a case of surgical correction without artificial material

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Chang Hun Kim ◽  
Hyungtae Kim ◽  
Kwang Ho Choi ◽  
Si Chan Sung ◽  
Hoon Ko ◽  
...  
Keyword(s):  
Aortic Arch ◽  
Aortic Coarctation ◽  
Surgical Intervention ◽  
Surgical Techniques ◽  
Growth Potential ◽  
Case Presentation ◽  
Descending Aorta ◽  
Persistent Fifth Aortic Arch ◽  
Additional Surgery ◽  
Surgical Methods

Abstract Background Persistent fifth aortic arch (PFAA) is a rare anomaly often associated with aortic coarctation or interruption, and various surgical techniques for this anomaly have been reported. Herein, we show a case of an infant with PFAA and severe aortic coarctation. Case presentation A 41-day-old female infant was admitted for sustained fever. Initially, the patient was diagnosed with bacterial meningitis, and echocardiography showed PFAA with severe aortic coarctation. Because the patient presented progressive oliguria and metabolic acidosis, she was transferred for emergency cardiac surgical intervention. The aortic arch was reconstructed using end-to-side anastomosis between the fifth aortic arch and the descending aorta without any artificial conduit or patching material. Conclusions PFAA with aortic coarctation can be repaired by various surgical methods. Among them, our surgical approach is easy and effective, has growth potential, and an additional surgery is not needed.

Thoracic endograft placement using a transfemoral snare in a patient with angled aortic arch

Vascular ◽  
2021 ◽  
pp. 170853812110244
Author(s):  
Sencer Çamci ◽  
Selma Ari ◽  
Hasan Ari ◽  
Mehmet T Göncü
Keyword(s):  
Aortic Arch ◽  
Thoracic Aorta ◽  
Male Patient ◽  
Subclavian Artery ◽  
Femoral Artery ◽  
Left Subclavian Artery ◽  
Endovascular Aneurysm Repair ◽  
Descending Aorta ◽  
Thoracic Endovascular Aneurysm Repair ◽  
Aneurysm Repair

Objective In complex anatomical challenges, endovascular endograft implantation to the thoracic aorta may not be performed. Various techniques have been put forward for endograft therapy. In this report, we present the effect of femoral snare support for a patient with an aortic arch angle. Method Thoracic endovascular aneurysm repair (TEVAR) was used for treating a 60-year-old male patient who suffered from severe angulation in the arcus aorta and aneurysmal enlargement of the left subclavian artery and descending aorta. The endovascular graft could not be advanced into the aortic arch with the guidewire because of the aortic arch angle. Therefore, the TEVAR graft distal end was caught with the snare advanced from the femoral artery, and the TEVAR graft was advanced into the aortic arch. Conclusion and result The femoral snare technique is a simple and successful method for endograft implantation of the aortic arch disease without the risk of heart trauma, especially in cases with aortic arch tortuosity.

Vertebral arterial steal following surgical repair of neonatal coarctation

1993 ◽  
Vol 3 (1) ◽  
pp. 55-56
Author(s):  
Narayanswami Sreeram ◽  
Christopher Brown ◽  
Kevin Walsh
Keyword(s):  
Subclavian Artery ◽  
Balloon Angioplasty ◽  
Doppler Echocardiography ◽  
Continuous Flow ◽  
Surgical Repair ◽  
Left Subclavian Artery ◽  
Cross Sectional ◽  
Descending Aorta ◽  
End To End

AbstractA five day old infant underwent repair of coarctation by resection and end-to-end anastomosis of the proximal and distal segments of the arch. Four weeks later, cross-sectional Doppler echocardiography showed a tight recoarctation proximal to the origin of the left subclavian artery. A dilated proximal left subclavian artery was demonstrated, with continuous flow from it into the descending aorta. These findings were confirmed at catheterization. This “vertebral arterial steal” disappeared following transcatheter balloon angioplasty.

Appearance of a localized bulge in the anterior aspect of the descending aorta after balloon angioplasty of native aortic coarctation—aneurysm or reopening of the arterial duct?

1993 ◽  
Vol 3 (1) ◽  
pp. 70-72
Author(s):  
Omar Galal ◽  
Michael Vogel ◽  
Per Bjoernstad
Keyword(s):  
Balloon Angioplasty ◽  
Aortic Coarctation ◽  
Balloon Dilation ◽  
Anterior Wall ◽  
Descending Aorta ◽  
Anterior Aspect ◽  
Arterial Duct

SummaryBalloon dilation of native aortic coarctation was performed in a three-month-old boy. Angiography immediately after dilation revealed a localized bulge on the anterior as pect of the descending aorta interpreted initially as an aneurysm. Angiography four months later, however, failed to detect this bulge. We speculate that the early aneurysmal appearance of the anterior wall of the aorta may have been caused by factors other than a tear in the aortic adventitia.

scholarly journals Persistent Fifth Aortic Arch Associated With Aortic Coarctation: A Case of Surgical Correction Without Artificial Material

2021 ◽  
Author(s):  
Chang Hun Kim ◽  
Hyungtae Kim ◽  
Kwang Ho Choi ◽  
Si Chan Sung ◽  
Hoon Ko ◽  
...  
Keyword(s):  
Aortic Arch ◽  
Aortic Coarctation ◽  
Surgical Intervention ◽  
Surgical Techniques ◽  
Growth Potential ◽  
Case Presentation ◽  
Descending Aorta ◽  
Persistent Fifth Aortic Arch ◽  
Additional Surgery ◽  
Surgical Methods

Abstract Background: Persistent fifth aortic arch (PFAA) is a rare anomaly often associated with aortic coarctation or interruption, and various surgical techniques for this anomaly have been reported. Herein, we show a case of an infant with PFAA and severe aortic coarctation. Case presentation: A 41-day-old female infant was admitted for sustained fever. Initially, the patient was diagnosed with bacterial meningitis, and echocardiography showed PFAA with severe aortic coarctation. Because the patient presented progressive oliguria and metabolic acidosis, she was transferred for emergency cardiac surgical intervention. The aortic arch was reconstructed using end-to-side anastomosis between the fifth aortic arch and the descending aorta without any artificial conduit or patching material. Conclusions: PFAA with aortic coarctation can be repaired by various surgical methods. Among them, our surgical approach is easy and effective, has growth potential, and an additional surgery is not needed.

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