scholarly journals OCULO-AURICULO-VERTEBRAL SPECTRUM ASSOCIATED WITH ABERRANT SUBCLAVIAN ARTERY IN AN INFANT WITH RECURRENT RESPIRATORY DISTRESS

2022 ◽  
Vol 40 ◽  
Author(s):  
Amanda Rosa Pereira ◽  
Carlos Henrique Paiva Grangeiro ◽  
Larissa Cerqueira Pereira ◽  
Letícia Lemos Leão ◽  
Juliana Cristina Castanheira Guarato

ABSTRACT Objective: To describe an infant with craniofacial microsomia and recurrent respiratory distress associated with aberrant right subclavian artery in order to review its most frequent congenital anomalies and alert the pediatrician to its rarer and more severe complications. Case description: This case report involves an 18-month-old male infant, only son of non-consanguineous parents. At birth, the child presented craniofacial dysmorphisms (facial asymmetry, maxillary and mandibular hypoplasia, macrostomia, grade 3 microtia, and accessory preauricular tag) restricted to the right side of the face. Additional tests showed asymmetric hypoplasia of facial structures and thoracic hemivertebrae. No cytogenetic or cytogenomic abnormalities were identified. The patient progressed to several episodes of respiratory distress, stridor, and nausea, even after undergoing gastrostomy and tracheostomy in the neonatal period. Investigation guided by respiratory symptoms identified compression of the esophagus and trachea by an aberrant right subclavian artery. After surgical correction of this anomaly, the infant has not presented respiratory symptoms and remains under multidisciplinary follow-up, seeking rehabilitation. Comments: Craniofacial microsomia presents a wide phenotypic variability compared to both craniofacial and extracraniofacial malformations. The latter, similarly to the aberrant right subclavian artery, is rarer and associated with morbidity and mortality. The main contribution of this case report was the identification of a rare anomaly, integrating a set of malformations of a relatively common condition, responsible for a very frequent complaint in pediatric care.

1997 ◽  
Vol 21 (3) ◽  
pp. 195-199 ◽  
Author(s):  
Jeffery P. Hogg ◽  
Anthony J. Dominic ◽  
Rhonda L. Counselman ◽  
Janis L. Hurst

2021 ◽  
Vol 24 (4) ◽  
pp. 109-113
Author(s):  
Virginia Giannone ◽  
Manuela Goia ◽  
Elisabetta Bignamini

The article describes a case of a 10-month-old male infant presenting with respiratory distress, laryngotracheitis and double aortic arch (DAA). Tracheal compression by vascular structures in infants is uncommon and may be masked by nonspecific respiratory symptoms. DAA is the most common vascular ring. Doctors should think about a congenital vascular ring due to DAA in children with repeated episodes of laryngitis, hissing breath, cough and dyspnoea when other common aetiologies are excluded. A precise diagnosis can be made through the contrast-enhanced chest CT scan.


2008 ◽  
Vol 55 (3) ◽  
pp. 371
Author(s):  
Sol Mon Yang ◽  
Jin-Tae Kim ◽  
Ji Young Bae ◽  
Hyun-Jung Kim ◽  
Hee-Soo Kim ◽  
...  

2017 ◽  
Vol 24 (2) ◽  
pp. 225-228 ◽  
Author(s):  
Ya-dong Liu ◽  
Zhi-qiang Li ◽  
Jing-jing Fu ◽  
Ya-jun E

Vertebral artery origin anomalies are typically incidental findings during angiography. We present an extremely rare variant in which the right vertebral artery has a double origin from the right subclavian artery and right common carotid artery in association with an aberrant right subclavian artery, which has never been reported before.


1993 ◽  
Vol 68 (5) ◽  
pp. 468-474 ◽  
Author(s):  
PAUL D. KIERNAN ◽  
JOSEPH DEARANI ◽  
WILLIAM D. BYRNE ◽  
THOMAS EHRLICH ◽  
WILLIAM CARTER ◽  
...  

2015 ◽  
Vol 129 (4) ◽  
pp. 403-405 ◽  
Author(s):  
L Lane ◽  
S Prudon ◽  
T Cheetham ◽  
S Powell

AbstractBackground:A lingual thyroid is a known cause of oropharyngeal obstruction in the neonate. It can be asymptomatic, or present as stridor, dysphonia, dysphagia or dyspnoea with faltering growth. The therapeutic options include surgical resection.Case report:A 6-day-old female neonate, born at 36 weeks gestation, presented with stridulous breathing and poor feeding. Although the cause was initially thought to be laryngomalacia, nasendoscopy revealed a lingual thyroid. The baby had deranged thyroid function, as detected on neonatal screening, but this result was not available until a later date. Despite being symptomatic, the patient was managed medically; thyroxine therapy was associated with resolution of the respiratory symptoms.Conclusion:Nasendoscopy provides valuable information about an ectopic thyroid gland. Thyroid replacement therapy may help to suppress the size of the ectopic gland and ultimately prevent an unnecessary surgical procedure.


2020 ◽  
Vol 15 (2) ◽  
Author(s):  
Nik Qisti F ◽  
Shahrun Niza AS ◽  
Razrim R

Aberrant right subclavian artery is a rare cause of dysphagia. This is a congenital anomaly with the right subclavian artery originating from the dorsal part of the aortic arch and coursing through the mediastinum between the esophagus and the vertebral column. We report a case of a patient with chronic dysphagia caused by this condition. We further discuss the case with regards to its clinical features and options of management.


Sign in / Sign up

Export Citation Format

Share Document