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Retroesophageal Left Brachiocephalic Vein with Right-Sided Aortic Arch in Tetralogy of Fallot: A Rare Venous Anomaly Demonstrated on Computed Tomography Angiography.
Methodist Debakey Cardiovasc J
November 2024
Indira Gandhi Medical College, Shimla, India.
A 14-year-old child with recurrent cyanotic spells at the age of 9 months underwent echocardiography at that time, which revealed tetralogy of Fallot (TOF). Follow-up computed tomography angiography revealed TOF with valvular pulmonary stenosis and a right-sided aortic arch with mirror image branching. Interestingly, an unusual anomalous course of the left brachiocephalic vein was seen.
View Article and Find Full Text PDFTreatment of Kommerell's diverticulum in rare aberrant aortic arch anatomy.
Proc (Bayl Univ Med Cent)
July 2024
Department of Vascular Surgery, Baylor Scott and White The Heart Hospital, Plano, Texas, USA.
A Kommerell's diverticulum (KD) is a saccular aneurysmal outpouching at the origin of an aberrant subclavian artery. Due to a lack of data in the literature, there are no standardized guidelines for management of KD, and the diverse presentation of associated aberrant anatomy complicates evaluating the best modality of treatment. We present a 74-year-old woman who had a uniquely aberrant aortic arch with an aberrant retroesophageal right subclavian artery associated with a KD and a saccular aneurysm off the left subclavian artery who was treated via a hybrid approach, demonstrating the feasibility of this treatment modality in a patient with unique aberrant arch anatomy.
View Article and Find Full Text PDFArticle Synopsis
- The study investigates how the development of branches of the subclavian artery is influenced by the anatomy of the proximal artery and surrounding structures, particularly in response to blood flow stress.
- A case of an aberrant right subclavian artery arising from the aorta and unusual branching patterns was reported, revealing types H and CG of the Adachi-Williams classification.
- Findings indicate that while the aberrant artery's development can impact blood flow in the region, normal distal branching suggests that proximal and distal vascular development can operate independently, adapting to anomalies.
Incidental Finding of Arteria Lusoria.
Glob Pediatr Health
August 2024
Pediatric Radiology Department, Rabat Children's Hospital, Ibn Sina Hospital, Faculty of Medicine and Pharmacy, Mohamed V University, Rabat, Morocco.
The arteria lusoria or retroesophageal right subclavian artery is the most common malformation of the aortic arch. It may be discovered with some symptoms of airway and/or esophageal compression, such as dyspnea or dysphagia, but in most cases it is an asymptomatic pathology. We report a case of a 3 months old patient diagnosed with Down syndrome who was admitted for pulmonary infection with incidental finding of retrooesophageal right subclavian artery.
View Article and Find Full Text PDFRelationship Between Quantitative Tracheal Geometry and Clinical Course in Various Types of Vascular Ring.
Pediatr Cardiol
August 2024
Department of Cardiology, Tokyo Metropolitan Children's Medical Center, 2-8-29, Musashidai, Fuchu, Tokyo, 183-8561, Japan.
Article Synopsis
- The study examined the link between tracheal geometry and clinical symptoms in patients with different types of vascular rings from April 2010 to December 2022.
- 50 patients were classified into five vascular ring types, with type 1 (complete double aortic arch) showing a smaller tracheal diameter and the shortest symptom-free survival time (16.0 days).
- Significant correlations were found between type 1 and type 3 vascular rings and symptom presentation, suggesting that the shape and pressure from the aortic arch may contribute to these symptoms.
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