scholarly journals Changes in topographical relation between the ductus arteriosus and left subclavian artery in human embryos: a study using serial sections

2017 ◽  
Vol 94 (1) ◽  
pp. 27-35
Author(s):  
Hiroshi ABE ◽  
Masahito YAMAMOTO ◽  
Ryoji SUZUKI ◽  
Ming ZHOU ◽  
Gen MURAKAMI ◽  
...  
2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Hyun-Hwa Cha ◽  
Hae Min Kim ◽  
Won Joon Seong

Abstract Background Unilateral pulmonary artery discontinuity is a rare malformation that is associated with other intracardiac abnormalities. Cases accompanied by other cardiac abnormalities are often missed on prenatal echocardiography. The prenatal diagnosis of isolated unilateral pulmonary artery discontinuity can also be delayed. However, undiagnosed this malformation would have an effect on further prognosis. We report our case of a prenatal diagnosis of pulmonary atresia with ventricular septal defect and left pulmonary artery discontinuity. Case presentation A 33-year-old Asian woman visited our institution at 24 weeks of gestation because of suspected fetal congenital heart disease. Fetal echocardiography revealed a small atretic main pulmonary artery giving rise to the right pulmonary artery without bifurcation and the left pulmonary artery arising from the ductus arteriosus originating from the left subclavian artery. The neonate was delivered by cesarean section at 376/7 weeks of gestation. Postnatal echocardiography and multidetector computed tomography showed a right aortic arch, with the small right pulmonary artery originating from the atretic main pulmonary artery and the left pulmonary artery originating from the left subclavian artery. Patency of the ductus arteriosus from the left subclavian artery was maintained with prostaglandin E1. Right ventricular outflow tract reconstruction and pulmonary angioplasty with Gore-Tex graft patch was performed 25th day after birth. Unfortunately, the neonate died because of right heart failure 8 days postoperation. Conclusion There is a possibility that both pulmonary arteries do not arise from the same great artery (main pulmonary artery or common arterial trunk). Therefore, clinicians should check the origin of both pulmonary arteries.


2021 ◽  
Author(s):  
Mohammadreza Khalilian ◽  
Manouchehr Hekmat ◽  
Saeed Sadr ◽  
Abdolhossein Tavallai-Zavvareh ◽  
Tahmineh Tahouri

Abstract solated left subclavian artery is a rare congenital aortic arch anomaly in which the left subclavian artery is connected to the pulmonary artery via a patent Ductus Arteriosus or a remnant of it, instead of the arota. Generally, it is associated with the right aortic arch and other congenital heart defects, mostly tetralogy of Fallot. Isolated left subclavian artery can cause subclavian steal syndrome, pulmonary steal syndrome and size or blood pressure discrepancy between the two upper limbs. We present a 14-months-old infant with isolated left subclavian artery, multiple ventricular septal defects and pulmonary hypertension. To our knowledge, it is a rare anomaly which can influence the surgical planning and outcomes.


2005 ◽  
Vol 101 (3) ◽  
pp. 509-511 ◽  
Author(s):  
Kerim Çağlı ◽  
Ülkü Yıldız ◽  
Kumral Ergün ◽  
Mustafa Emir ◽  
Cemal Levent Birincioğlu

2019 ◽  
Vol 11 (2) ◽  
pp. 235-237
Author(s):  
David C. Mauchley ◽  
Julia Massey Stiegler ◽  
Luz A. Padilla ◽  
Zviadi Aburjania ◽  
Robet Dabal ◽  
...  

We describe a neonate with an unusual vascular ring formed by a right-sided aortic arch with associated coarctation and distal hypoplasia in the presence of an aberrant left subclavian artery. The descending aorta traveled behind the esophagus to descend on the left side of the spine. A left ductus arteriosus connected to the descending aorta completing the vascular ring, with notable esophageal compression. Surgical correction was accomplished through median sternotomy, resection of the hypoplastic circumflex arch, aortic arch advancement, and end-to-side anastomosis.


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