The isolated left subclavian artery is a rare congenital variation of the vascular structure. Herein, we report the case of a 10-year-old boy with a rare isolated left subclavian artery. The left subclavian artery evolved from stenosis to atresia, resulting in subclavian steal syndrome. In our case, the combination of echocardiography and computed tomography angiography provided a comprehensive assessment of the cardiovascular malformations, considered necessary for a definitive diagnosis.
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http://dx.doi.org/10.1111/echo.70125 | DOI Listing |
Arch Cardiol Mex
March 2025
Departamento de Cardiología Pediátrica, Instituto Nacional de Cardiología Ignacio Chávez, Ciudad de México, México.
Objective: To analyze the clinical characteristics and natural history of pediatric patients with a diagnosis of vascular ring.
Method: We retrospectively studied the records of 110 patients of pediatric age, from January 2014 to December 2022, with the following variables: age, clinical manifestations, associated cardiac lesions, diagnostic method and surgical approach.
Results: Of the total, 60 (55%) were female and 50 (45%) were male.
Multimed Man Cardiothorac Surg
March 2025
Division of Cardiothoracic Surgery, Department of Surgery, Westchester Medical Center/New York Medical College, Valhalla, NY, USA New York Medical College School of Medicine, Valhalla, NY, USA.
A quinquagenarian underwent zone 2 arch repair for acute type A dissection followed by endovascular repair utilizing a branch endoprosthesis and covered stents. He developed a fever and positive blood culture results 3 weeks after the thoracic endovascular repair. A preoperative left carotid to subclavian artery bypass was performed.
View Article and Find Full Text PDFJ Neuroendovasc Ther
March 2025
Department of Neurosurgery, Saga University Hospital, Saga, Saga, Japan.
Objective: Not many reports of subclavian artery occlusion complicated by vertebrobasilar junction aneurysm have been published, and no cases have been treated using a distal radial approach. Our case report highlights the effectiveness of this approach in comparison to previous findings.
Case Presentation: An 82-year-old woman was referred to our hospital because of an enlarged vertebrobasilar junction aneurysm.
Cureus
February 2025
Cardiology, Unidade Local de Saúde (ULS) São João, Porto, PRT.
A 53-year-old female with a medical history of multiple cardiovascular risk factors, alcoholic chronic hepatic disease (Child-Pugh B) with thrombocytopenia, and severe calcified aortic stenosis was admitted for an elective transcatheter aortic valve implantation (TAVI). After the procedure, the patient was hypotensive and unresponsive to fluid challenge, and there was a significant difference in blood pressure between the two arms. The echocardiogram confirmed the normal position and function of the prosthetic valve but was suggestive of aortic dissection.
View Article and Find Full Text PDFEchocardiography
March 2025
Department of Ultrasound Diagnosis, Children's Hospital of Hebei Province, Shijiazhuang, China.
The isolated left subclavian artery is a rare congenital variation of the vascular structure. Herein, we report the case of a 10-year-old boy with a rare isolated left subclavian artery. The left subclavian artery evolved from stenosis to atresia, resulting in subclavian steal syndrome.
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