scholarly journals Left-Sided Patent Ductus Arteriosus in a Right-Sided Aortic Arch

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Ming-Yen Ng ◽  
Paaladinesh Thavendiranathan ◽  
Andrew Michael Crean ◽  
Qin Li ◽  
Djeven Parameshvara Deva
Keyword(s):  
Patent Ductus Arteriosus ◽  
Aortic Arch ◽  
Tetralogy Of Fallot ◽  
Ductus Arteriosus ◽  
Brachiocephalic Artery ◽  
Common Site ◽  
Rare Finding ◽  
Repaired Tetralogy Of Fallot ◽  
Patent Ductus

We present a 31-year-old female with repaired tetralogy of Fallot (TOF) and right-sided aortic arch (RAA) with left-sided patent ductus arteriosus (PDA) originating from the left brachiocephalic artery. This is a rare finding but most common site for a PDA in TOF and a RAA. To the best of our knowledge, this is the first demonstration of this rare finding on MRI in the literature.

scholarly journals Ductal Stent Implantation in Tetralogy of Fallot with Aortic Arch Abnormality

2015 ◽  
Vol 42 (3) ◽  
pp. 281-284 ◽  
Author(s):  
Hasan Tahsin Tola ◽  
Yakup Ergul ◽  
Murat Saygi ◽  
Isa Ozyilmaz ◽  
Alper Guzeltas ◽  
...  
Keyword(s):  
Patent Ductus Arteriosus ◽  
Aortic Arch ◽  
Tetralogy Of Fallot ◽  
Ductus Arteriosus ◽  
Main Pulmonary Artery ◽  
Male Infant ◽  
22Q11 Deletion ◽  
Computed Tomographic ◽  
Chromosome 22Q11 ◽  
Patent Ductus

Stenting of patent ductus arteriosus is an alternative to palliative cardiac surgery in newborns with duct-dependent or decreased pulmonary circulation; however, the use of this technique in patients with an aortic arch abnormality presents a challenge. Tetralogy of Fallot is a congenital heart defect that is frequently associated with anomalies of the aortic arch and its branches. The association is even more common in patients with chromosome 22q11 deletion. We present the case of an 18-day-old male infant who had cyanosis and a heart murmur. After an initial echocardiographic evaluation, the patient was diagnosed with tetralogy of Fallot and right-sided aortic arch. The pulmonary annulus and the main pulmonary artery and its branches were slightly hypoplastic; the ductus arteriosus was small. Conventional and computed tomographic angiograms revealed a double aortic arch and an aberrant left subclavian artery. The right aortic arch branched into the subclavian arteries and continued into the descending aorta, whereas the left aortic arch branched into the common carotid arteries and ended with the patent ductus arteriosus. After evaluation of the ductal anatomy, we implanted a 3.5 × 15-mm coronary stent in the duct. Follow-up injections showed augmented pulmonary flow and an increase in oxygen saturation from 65% to 94%. The patient was also found to have chromosome 22q11 deletion.

scholarly journals TETRALOGI FALLOT DAN ATRESIA PULMONAL

2013 ◽  
Vol 4 (3) ◽  
Author(s):  
Alice I. Supit ◽  
Erling D. Kaunang
Keyword(s):  
Patent Ductus Arteriosus ◽  
Right Ventricle ◽  
Tetralogy Of Fallot ◽  
Congenital Heart ◽  
Heart Diseases ◽  
Ductus Arteriosus ◽  
Ventricle Hypertrophy ◽  
The Right ◽  
Right Ventricle Hypertrophy ◽  
Patent Ductus

Abstract: Congenital heart disease is a structural defect due to the malformation of the heart, aorta, and or great blood vessels. It is the most frequent congenital malformation in newborn babies. Tetralogy of Fallot is one of the congenital heart diseases (CHD) with central cyanosis, and covers 5-10% of all CHD. We reported a boy of one year old with Tetralogy of Fallot and pulmonal atresia (ToF-PA), associated with bronchopneumonia. The diagnosis was based on anamnesis, physical examination, and other supporting examinations. The chest X-ray showed a normal sized heart (CTR 57%) with coer-en-sabot shape, and right and left parahilar infiltration, which resulted in bronchopneumonia and ToF. The electrocardiography showed a right deviation of axis and a hypertrophy of the right ventricle; the echocardiography showed a right ventricle hypertrophy, an over-riding aorta, a large malalignment of the ventricular septal defect, no visualization of pulmonar artery, and no visualization of patent ductus arteriosus (PDA). Conclusion: Based on all the tests performed, the diagnosis of this patient was Tetralogy of Fallot and pulmonal atresia (ToF-PA), associated with bronchopneumonia. The prognosis related to bronchopneumonia in this case was good due to the use of antibiotics. Keywords: tetralogy of Fallot, pulmona atresia, bronchopneumonia.  Abstrak: Penyakit jantung bawaan (PJB) ialah kelainan struktural akibat malformasi jantung, aorta dan atau pembuluh darah besar, dan merupakan kelainan kongenital tersering pada bayi baru lahir. Tetralogi Fallot merupakan salah satu PJB dengan sianosis sentral, dan mencakup 5-10% dari seluruh PJB. Kami melaporkan kasus seorang anak laki-laki berusia satu tahun dengan Tetralogi Fallot dan atresia pulmonal (ToF-PA) disertai bronkopneumonia. Diagnosis ditegakkan melalui anamnesis, pemeriksaan fisik, dan pemeriksaan penunjang. Hasil ekspertisi foto toraks AP memperlihatkan ukuran jantung normal (CTR 57%) berbentuk coer-en-sabot, dan pada paru-paru terlihat infiltrat parahilar kanan dan kiri serta corakan vaskular paru berkurang yang menunjukkan suspek bronkopneumonia dan ToF. Elektrokardiografi memperlihatkan deviasi aksis ke kanan dan hipertrofi ventrikel kanan, dan pada ekokardiografi tampak right ventricle hypertrophy, overriding aorta, VSD malalignment besar, tidak tampak visualisasi arteri pulmonal, dan tidak tampak patent ductus arteriosus (PDA) dengan hasil Tetralogi Fallot dan atresia pulmonal. Simpulan: Berdasarkan hasil pemeriksaan yang dilakukan, diagnosis pasien ini ialah Tetralogi Fallot dan atresia pulmonal (ToF-PA) disertai bronkopneumonia. Prognosis bronkopenumonia pada kasus ini baik yang dapat diatasi dengan antibiotika.Kata kunci: tetralogi Fallot, atresia pulmonal, bronkopneumonia.  

Right aortic arch and isolated left innominate artery from a left sided patent ductus arteriosus: a very rare aortic arch anomaly

2009 ◽  
Vol 44 (4) ◽  
pp. e29-e31 ◽  
Author(s):  
Emmanuel Le Bret ◽  
Bertrand Leobon ◽  
François Roubertie ◽  
Anne Sigal-Cinqualbre ◽  
Bertrand Stos ◽  
...  
Keyword(s):  
Patent Ductus Arteriosus ◽  
Aortic Arch ◽  
Ductus Arteriosus ◽  
Innominate Artery ◽  
Right Aortic Arch ◽  
Aortic Arch Anomaly ◽  
Patent Ductus

scholarly journals Patent ductus arteriosus coexisting with a left brachiocephalic artery originating from the descending aorta

Medicine ◽  
2018 ◽  
Vol 97 (31) ◽  
pp. e11738
Author(s):  
Jiabing Huang ◽  
Xiaofan Peng ◽  
Xiangqian Shen ◽  
Xinqun Hu ◽  
Zhenfei Fang
Keyword(s):  
Patent Ductus Arteriosus ◽  
Ductus Arteriosus ◽  
Brachiocephalic Artery ◽  
Descending Aorta ◽  
Patent Ductus

scholarly journals Total one-stage repair of interrupted aortic arch associated with aortic septal defect and patent ductus arteriosus

1977 ◽  
Vol 74 (6) ◽  
pp. 913-917 ◽  
Author(s):  
Kenji Ito ◽  
Naoaki Kohguchi ◽  
Yasunori Ohkawa ◽  
Tadayoshi Akasaka ◽  
Hiroshi Ohara ◽  
...  
Keyword(s):  
Patent Ductus Arteriosus ◽  
Aortic Arch ◽  
Septal Defect ◽  
Ductus Arteriosus ◽  
Interrupted Aortic Arch ◽  
One Stage ◽  
Patent Ductus
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