Aortic arch uncrossing using a tracheal resection procedure

2021 ◽  
Keyword(s):  
Aortic Arch ◽  
Vascular Ring ◽  
Right Aortic Arch ◽  
Tracheal Resection ◽  
Vascular Compression ◽  
Upper Respiratory Tract ◽  
Vascular Abnormality ◽  
The Right ◽  
Tract Infections ◽  
Diverticulum Of Kommerell

One category of vascular rings is the right aortic arch associated with the diverticulum of Kommerell from which the left subclavian artery usually originates. In some cases, the right aortic arch crosses behind the trachea and the esophagus from right to left. The trachea and esophagus are compressed by the right aortic arch, the left ligamentum, and the posterior crossing aorta, which causes the typical symptoms of noisy breathing, dyspnea on exertion, dysphagia, and frequent upper respiratory tract infections. Division of the atretic arch segment between the diverticulum of Kommerell and the left common carotid artery may relieve the symptoms temporarily but does not relieve the compression produced by this vascular abnormality. Indeed, at the age of 10 months, this patient underwent anterior arch division and posterior aortopexy via a posterolateral thoracotomy in order to relieve the compression caused by the vascular ring. Several months after the initial operation, the patient had recurrent respiratory symptoms as a result of residual vascular compression from the circumflex arch. A CT scan and airway endoscopy confirmed tracheal compression; in addition, the tracheoscopy showed tracheomalacic changes in the compressed segment of the trachea. To relieve the symptoms and the compression, we decided to resect the tracheomalacic segment of the trachea and translocate the aortic arch anterior to the trachea and esophagus.

scholarly journals Right aortic arch with an aberrant left subclavian artery: sonographic features by HDlive Flow imaging

2020 ◽  
Vol 30 (6) ◽  
pp. 892-893
Author(s):  
Toyohide Endo ◽  
Daigo Ochiai ◽  
Mamoru Tanaka
Keyword(s):  
Aortic Arch ◽  
Subclavian Artery ◽  
Left Subclavian Artery ◽  
Vascular Ring ◽  
Vascular Anomaly ◽  
Right Aortic Arch ◽  
Flow Imaging ◽  
Branching Pattern ◽  
Aberrant Left Subclavian Artery ◽  
The Right

AbstractThe right aortic arch is a congenital vascular anomaly, which may form a vascular ring. However, prenatal identification of the branching pattern of brachiocephalic vessels is often limited. In this paper, we clearly demonstrated the branching pattern of brachiocephalic vessels in a case of right aortic arch with an aberrant left subclavian artery using HDlive Flow imaging.

A Case of the Right Aortic Arch with Mirror-image Branching and a Left Ligamentum Arteriosum Forming a Vascular Ring

1998 ◽  
Vol 11 (1) ◽  
pp. 177
Author(s):  
Byung Pil Cho ◽  
Ho Suck Kang ◽  
Young Chul Yang ◽  
Tae Sun Hwang ◽  
Ji Won Kim
Keyword(s):  
Aortic Arch ◽  
Vascular Ring ◽  
Mirror Image ◽  
Right Aortic Arch ◽  
Ligamentum Arteriosum ◽  
The Right

Right aortic arch with mirror-image branching causing vascular ring. A new classification of the right aortic arch patterns

1973 ◽  
Vol 46 (542) ◽  
pp. 115-119 ◽  
Author(s):  
Izchak J. Garti ◽  
Maurice M. Aygen ◽  
Bernardo Vidne ◽  
Morris J. Levy
Keyword(s):  
Aortic Arch ◽  
Vascular Ring ◽  
Mirror Image ◽  
Right Aortic Arch ◽  
New Classification ◽  
The Right

Right arch with prostaglandin-dependent coarctation and aberrant left carotid artery in a 22q11.2 deletion infant

2021 ◽  
pp. 1-3
Author(s):  
Kei Kobayashi ◽  
Gen Harada ◽  
Takeshi Shinkawa
Keyword(s):  
Carotid Artery ◽  
Aortic Arch ◽  
Vascular Ring ◽  
Coarctation Of The Aorta ◽  
External Carotid Artery ◽  
Right Aortic Arch ◽  
External Carotid ◽  
Left Internal Carotid Artery ◽  
22Q11.2 Deletion ◽  
The Right

Abstract Right aortic arch in association with coarctation of the aorta and vascular ring is a rare anatomy. We present an infant with chromosome 22q11.2 deletion, who had the right aortic arch with retroesophageal aberrant left subclavian artery and left internal carotid artery. The left external carotid artery and right common carotid artery originated together from the ascending aorta as a bovine branch. The infant also had severe coarctation, which was prostaglandin dependent.

scholarly journals TREATMENT OF PATIENTS WITH ESOPHAGEAL ATRESIA AND RIGHT AORTIC ARCH

2018 ◽  
Vol 22 (2) ◽  
pp. 96-98
Author(s):  
Yu. A. Kozlov ◽  
V. A. Novozhilov ◽  
I. N. Veber ◽  
A. A. Rasputin ◽  
K. A. Kovalkov ◽  
...  
Keyword(s):  
Aortic Arch ◽  
Esophageal Atresia ◽  
Unsolved Problem ◽  
Vascular Ring ◽  
Vascular Anomaly ◽  
Right Aortic Arch ◽  
Scientific Review ◽  
Vascular Abnormality ◽  
Surgical Strategies ◽  
Operative Evaluation

Right-sided (right, in dextral position) aortic arch (RAA) is recorded in approximately 5% of esophageal atresia (EA) patients. This vascular abnormality may complicate the surgical treatment of EA and is still an unsolved problem in pediatric surgery. Conventional methods for determining the anatomy of the aortic arch do not always provide accurate data, which can lead to thoracotomy on the side of the aortic arch. Skills and preferences of the surgeon still determine the choice of surgical approach in EA patients with RAA. For most experienced surgeons, to make anastomosis of the esophagus in patients with RAA from right access is not so difficult. However, in EA patients with RAA, combined with the vascular ring, left-sided thoracotomy can make the final combined reconstruction technically simpler. In this scientific review, we sought to determine the prevalence rate of RAA in the population of EA patients, the level of pre-operative evaluation of this vascular anomaly, and the existing surgical strategies that consist in choosing the optimal side for access to the esophagus.

An unusual case of vascular ring: The right aortic arch with mirror-image branching and aneurysm of the left ductus arteriosus

1990 ◽  
Vol 9 (1) ◽  
pp. 41-43
Author(s):  
H. Arakawa ◽  
K. Tokuyama ◽  
H. Mochizuki ◽  
M. Shigeta ◽  
M. Tashiro ◽  
...  
Keyword(s):  
Aortic Arch ◽  
Unusual Case ◽  
Ductus Arteriosus ◽  
Vascular Ring ◽  
Mirror Image ◽  
Right Aortic Arch ◽  
The Right

scholarly journals Barium sulphate aspiration pneumonia in a cat with megaesophagus and dextroposition of the aortic arch: case report

2018 ◽  
Vol 70 (5) ◽  
pp. 1453-1458
Author(s):  
J.A. Barrera-Zarate ◽  
B.A. Paiva ◽  
D.P. Ferreira ◽  
F.S. Alves ◽  
J.P.H. Sato ◽  
...  
Keyword(s):  
Aortic Arch ◽  
Aspiration Pneumonia ◽  
Barium Sulfate ◽  
Polarized Light ◽  
Barium Sulphate ◽  
Right Aortic Arch ◽  
Thoracic Esophagus ◽  
Severe Respiratory Distress ◽  
The Right ◽  
Histiocytic Infiltration

ABSTRACT A six-month-old female cat suffered aspiration of an abundant amount of barium sulfate during a radiographic procedure for the diagnosis of megaesophagus. Latero-lateral contrast radiography revealed severe dilation of the thoracic esophagus cranial to the base of the heart. Persistence of the right aortic arch was suspected and later confirmed during corrective surgery. Accumulation of barium sulfate, used as a contrast agent, was clearly observed in the lumen of the bronchi, bronchioles, and alveoli in the radiographic image. Days after the surgery, the animal developed severe respiratory distress, which resulted in death. Cytology results and histology analysis using polarized light demonstrated that the lumen of bronchi, bronchioles, and alveoli exhibited evident histiocytic infiltration with cytoplasm filled by abundant amorphous refractive granular material consistent with barium sulfate. In this report, we describe the anatomical, cytological, histopathological (using polarized light), and x-ray findings of a case of barium sulfate aspiration pneumonia in a cat resulting from the use of this contrast medium for the diagnosis of megaesophagus secondary to persistent right aortic arch.

scholarly journals Use of Contrast-Enhanced MR Angiography (CE-MRA) for the Diagnosis of a Vascular Ring Anomaly in a Dog

2012 ◽  
Vol 2012 ◽  
pp. 1-4
Author(s):  
Silke Hecht ◽  
April M. Durant ◽  
William H. Adams ◽  
Gordon A. Conklin
Keyword(s):  
Magnetic Resonance ◽  
Aortic Arch ◽  
Vascular Ring ◽  
Ligamentum Arteriosum ◽  
University Of Tennessee ◽  
Contrast Enhanced ◽  
Dry Food ◽  
Magnetic Resonance Imaging Mri ◽  
The Right ◽  
Band Crossing

A 4-month-old female mixed breed dog was presented to the University of Tennessee College of Veterinary Medicine with a history of regurgitation and cachexia. Thoracic radiographs revealed focal megaesophagus cranial to the heart base. Magnetic resonance imaging (MRI) was performed. True fast imaging with steady-state precession (TrueFISP), fast low angle shot (FLASH), and short tau inversion recovery (STIR) sequences were acquired prior to contrast medium administration. Contrast-enhanced magnetic resonance angiography (CE-MRA) demonstrated focal megaesophagus and position of the aortic arch to the right of the esophagus. A small ductus diverticulum and an indistinct linear soft tissue band crossing the esophagus were also noted. Surgical exploration confirmed MR diagnosis of a persistent right aortic arch (PRAA) with left ligamentum arteriosum. The dog improved following surgery but was unable to be transitioned to dry food. To our knowledge this is the first report describing the use of CE-MRA for preoperative diagnosis and guided surgical treatment of a vascular ring anomaly in a dog.

Diverticulum of Kommerell with Micro Aneurysm, an Aberrant Right Subclavian Artery and Ventricular Septal Defect in a 39 Years Old Female: Case Report

2021 ◽  
Author(s):  
Xiaoming Bian
Keyword(s):  
Ventricular Septal Defect ◽  
Aortic Arch ◽  
Subclavian Artery ◽  
Septal Defect ◽  
Aortic Rupture ◽  
Vascular Ring ◽  
Vascular Lesion ◽  
Aberrant Right Subclavian Artery ◽  
Successful Operation ◽  
Diverticulum Of Kommerell

Diverticulum of Kommerell is a congenital anomaly in the development of the primitive embryonic aortic vasculature resulting in either an aberrant left subclavian artery (ALSA) from a right-sided aortic arch (RSAA) or an aberrant right subclavian artery (ARSA) from a left-sided aortic arch (LSAA). Kommerell’s diverticulum (KD), is extremely rare in the general population having prevalence of 0.7–2.0 %. KD with true aneurysmal dilatation like any vascular lesion of the thoracic aorta weakens the vasculature and increases the risk of aortic rupture. Timely surgical intervention is of paramount importance in most of these cases. Variable clinical presentations in patients with KD are either a result of compression of some mediastinal organs or strangulation by the vascular ring from the aberrant subclavian artery (ASA). We report a case of a 39 years old Chinese female with a rare co-existence of a huge KD with a microaneurysm, an aberrant right subclavian artery (ARSA), and ventricular septal defect (VSD). She underwent a successful operation and all her pre-surgical symptoms disappeared.

scholarly journals P725 An unexpected direction: a case report of a double aortic arch in an asymptomatic woman in adulthood

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
I Campos ◽  
C Vieira ◽  
N Salome ◽  
V H Pereira ◽  
A Costeira Pereira ◽  
...  
Keyword(s):  
Case Report ◽  
Aortic Arch ◽  
Ct Angiography ◽  
Vascular Ring ◽  
Double Aortic Arch ◽  
Posterior Arch ◽  
Vascular Rings ◽  
Thoracic Ct ◽  
Extrinsic Compression ◽  
The Right

Abstract Introduction Complete vascular rings represent about 0.5-2% of all congenital cardiovascular malformations, with the double aortic arch (DAA) being the most common of the complete vascular rings, causing tracheoesophageal compression. The right (posterior) arch is usually dominant (70%), although the two arches can have the same size (5%). The left (anterior) arch is dominant in only approximately 25% of cases. In most cases, this anomaly is diagnosed during childhood due to symptoms caused by oesophageal or tracheal compression. For this reason, case reports of adults are rare. This report describes a case of a 61-year-old woman with DAA with dominant left arch, diagnosed accidentallyby thoracic CT angiography. Case Report Description A 61 years old woman with a previous story of hypertension and type 1 diabetes presented to the emergency service with dyspnoea and thoracic pain. She also referred a history of intermittent dysphagia and cough with at least 12 years of progression. All the parameters of the physical examination were within normal limits. The electrocardiogram showed a normal sinus rhythm with no evidence of acute ischemia and her blood analyses did not show any abnormalitie. She also performed a thoracic CT angiography, which excluded signs of pulmonary embolism, but revealed a vascular ring suggesting a double aortic arch with permeability in both right and left arches as well as their collaterals. The Cardiac MRI was performed with the purpose of excluding ischemia, confirming the double aortic arch with left dominance. The right arch, posterior to the oesophagus and trachea, and the left arch, in an anterior position, showed an anatomic compression of the oesophagus as well as the proximal trachea, capable of eliciting the symptoms mentioned. Other congenital anomalies were excluded. The echocardiography did not demonstrate any additional cardiac malformation. Endoscopy shows a pulsatile extrinsic compression of the esophagus (aortic ring). The patient is currently being studied and closely monitored in the Cardiology consultation. Discussion The most common type of complete vascular ring is the double aortic arch, which accounts for 70% of the complete rings. In most cases, there are two permeable arches, usually with right dominance (70% of the cases). Rarely, both arches are symmetrical. Symptoms usually appear in the fifth month of life. In most cases, only supportive treatment is required. Conclusion This case illustrates the atypical features of this congenital malformation, namely the diagnosis during adulthood as well as the left dominance. Abstract P725 Figure. A double aortic arch

Sign in / Sign up

Export Citation Format

Share Document