Surgical Management of Right Aortic Arch Obstruction Associated With Rare Form of Vascular Ring

This clinical case demonstrated surgical management for a rare case of vascular ring associated with an elongated and kinked aortic arch and a right descending aorta in a ten-year-old male using an extra-anatomic bypass grafting method and dividing the vascular ring. Computer tomography performed at six-month follow-up showed a favorable surgical outcome.

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Left aortic arch with right descending aorta and right ligamentum arteriosum associated with d-TGA and large VSD: Surgical treatment of a rare form of vascular ring

Journal of Pediatric Surgery ◽

10.1016/0022-3468(95)90507-3 ◽

1995 ◽

Vol 30 (9) ◽

pp. 1363-1365 ◽

Cited By ~ 9

Author(s):

Mikio Watanabe ◽

Shiori Kawasaki ◽

Hiroshi Sato ◽

Kazu Minami ◽

Shinjiro Shimazaki ◽

...

Keyword(s):

Surgical Treatment ◽

Aortic Arch ◽

Vascular Ring ◽

Rare Form ◽

Ligamentum Arteriosum ◽

Descending Aorta ◽

Right Descending Aorta

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Right-sided aorta. I. Occurrence of right aortic arch in various types of congenital heart disease. II. Right aortic arch, right descending aorta, and associated anomalies.

Heart ◽

10.1136/hrt.28.6.722 ◽

1966 ◽

Vol 28 (6) ◽

pp. 722-739 ◽

Cited By ~ 202

Author(s):

A R Hastreiter ◽

I A D'Cruz ◽

T Cantez ◽

E P Namin ◽

R Licata

Keyword(s):

Congenital Heart Disease ◽

Heart Disease ◽

Aortic Arch ◽

Congenital Heart ◽

Right Aortic Arch ◽

Associated Anomalies ◽

Descending Aorta ◽

Right Descending Aorta

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The Surgical Management of Vascular Ring Formed by Right Aortic Arch with Aberrant Left Subclavian Artery and Left Ligamentum Arteriosum—A Case Presentation

Vascular Surgery ◽

10.1177/153857449302700308 ◽

1993 ◽

Vol 27 (3) ◽

pp. 206-211

Author(s):

Tomizo Hiekata ◽

Hiroshi Takei ◽

Teruyuki Koyama ◽

Shin-ichi Endo ◽

Tohko Kashimura ◽

...

Keyword(s):

Aortic Arch ◽

Surgical Management ◽

Subclavian Artery ◽

Left Subclavian Artery ◽

Vascular Ring ◽

Right Aortic Arch ◽

Ligamentum Arteriosum ◽

Case Presentation ◽

Aberrant Left Subclavian Artery

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Diagnostic Dilemma: Left Aortic Arch with Right Descending Aorta—A Rare Vascular Ring

Pediatric Cardiology ◽

10.1007/s002469900108 ◽

1997 ◽

Vol 18 (1) ◽

pp. 45-48 ◽

Cited By ~ 11

Author(s):

G.K. Singh ◽

S. B. Greenberg ◽

R. K. Balsara

Keyword(s):

Aortic Arch ◽

Vascular Ring ◽

Diagnostic Dilemma ◽

Descending Aorta ◽

Right Descending Aorta

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Vascular ring: Left cervical aortic arch, right descending aorta, and right ligamentum arteriosum

Journal of Thoracic and Cardiovascular Surgery ◽

10.1016/s0022-5223(19)37313-1 ◽

1982 ◽

Vol 83 (2) ◽

pp. 311-315 ◽

Cited By ~ 39

Author(s):

Glenn Whitman ◽

Larry W. Stephenson ◽

Paul Weinberg

Keyword(s):

Aortic Arch ◽

Vascular Ring ◽

Ligamentum Arteriosum ◽

Descending Aorta ◽

Right Descending Aorta

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Left Aortic Arch, Retro-Esophageal Aortic Segment, Right Descending Aorta and Right Patent Ductus Arteriosus - A Very Rare “Vascular Ring” Malformation

The Thoracic and Cardiovascular Surgeon ◽

10.1055/s-2007-1022182 ◽

1986 ◽

Vol 34 (06) ◽

pp. 395-397 ◽

Cited By ~ 7

Author(s):

K. Minami ◽

K. Sagoo ◽

W. Matthies ◽

H. Meyer ◽

R. Körfer

Keyword(s):

Patent Ductus Arteriosus ◽

Aortic Arch ◽

Ductus Arteriosus ◽

Vascular Ring ◽

Descending Aorta ◽

Aortic Segment ◽

Patent Ductus ◽

Right Descending Aorta

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A vascular ring: right aortic arch and descending aorta with left ductus arteriosus

The Annals of Thoracic Surgery ◽

10.1016/s0003-4975(00)02352-3 ◽

2001 ◽

Vol 71 (2) ◽

pp. 729-731 ◽

Cited By ~ 7

Author(s):

Jae Jin Han ◽

Sejung Sohn ◽

Hae Soon Kim ◽

Tae Hee Won ◽

Jae Ho Ahn

Keyword(s):

Aortic Arch ◽

Ductus Arteriosus ◽

Vascular Ring ◽

Right Aortic Arch ◽

Descending Aorta

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Surgical approach to complicated cervical aortic arch: anatomic, developmental, and surgical considerations

Cardiology in the Young ◽

10.1017/s1047951100009136 ◽

2000 ◽

Vol 10 (3) ◽

pp. 212-219 ◽

Cited By ~ 29

Author(s):

Doff B. McElhinney ◽

LeNardo D. Thompson ◽

Paul M. Weinberg ◽

Kenneth L. Jue ◽

Frank L. Hanley

Keyword(s):

Aortic Arch ◽

Vascular Tissue ◽

Perioperative Complications ◽

Vascular Ring ◽

Median Sternotomy ◽

Descending Aorta ◽

Direct Anastomosis ◽

Arch Obstruction ◽

Structural Anomalies

AbstractBackgroundAbnormalities of brachiocephalic arterial branching and arch laterality are common in patients with a cervical aortic arch. In addition, structural anomalies of the arch such as obstruction, aneurysms, and tortuosity are found in a significant number of cases.MethodsBetween 1990 and 1998, 6 patients underwent surgery for an obstructed right cervical arch. A significant obstruction was present at the transverse or distal arch in all patients, and was recurrent after previous repair in 2. In 1 patient, there was also a multi-lobed aneurysm of the aortic segment contiguous to the obstruction, and in 2 there was marked tortuosity of the arch. In all cases, the order of origin of the head and neck vessels was abnormal, and obstruction of 1 or more brachiocephalic vessels was found in 3. A vascular ring was present in all patients, with a right aortic arch and aberrant left subclavian artery in 4 patients and a double aortic arch with a dominant right cervical arch in 2. The descending aorta was circumflex (left-sided) in 3 patients. Three patients were repaired through a standard right posterolateral thoracotomy, and 3 through a median sternotomy. Patch augmentation aortoplasty was used in 2 patients, a tube graft from the ascending to descending aorta in 2, end to side anastomosis of the descending aorta to the proximal arch in 1, and direct anastomosis to reconstruct an atretic left-sided component of a double arch in 1.ResultsRepair was successful in all cases, with no perioperative complications. At follow-up ranging from 1 to 9 years, all patients were alive and well, with no recurrence of arch obstruction or other significant complications. Fluorescentin situhybridization revealed microdeletion of chromosome 22q 11 in 1 patient (not performed in the others).ConclusionsStructural anomalies of the arch are relatively common in patients with a cervical aortic arch. Such abnormalities may be the result of hemodynamic conditions and/or abnormal vascular tissue related either to the cervical position of the arch or its embryologic precursors. Given the highly variable anatomy of patients with a complicated cervical aortic arch, surgical considerations will vary in kind.

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