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Double Aortic Arch with Left Arch Atresia
Images
221 IMAGES
Heart, Lung and Circulation 2009;18:219–221
Double Aortic Arch with Left Arch Atresia Oleksandr Kondrachuk, MD ∗ , Tetyana Yalynska, PhD, Raad Tammo, MD, Yevgeniya Yershova, MD, Nadija Rokitska, MD and Illya Yemets, PhD Ukrainian Children’s Cardiac Center, Chornovola Street 28/1, 01135 Kyiv, Ukraine
A
2-year-old girl, having an echocardiogram suggestive of double aortic arch, underwent a cardiac multidetector computed tomography (MDCT) examination. MDCT revealed double aortic arch with left arch atresia distal to the left subclavian artery. The left common carotid artery and the left subclavian artery arose from the left arch, the right common carotid artery and the right subclavian artery originated from the right arch (Fig. 1). Moderate compression of the trachea within the vascular ring was also noted (Fig. 2). Surgical intervention was not performed because of the absence of symptoms due to compression of the oesophagus or trachea.
Fig. 2.
Double aortic arch is a rare congenital heart defect. It was first described by Hommel in 1737 [1]. The diagnosis is easily missed. MDCT provides high-resolution images of both the central airways and the vascular structures. Evaluation of cardiovascular malformations and airway lesions can be accomplished with a single non-invasive examination.
Reference
Fig. 1.
[1] Austin III EH, Kavarana MN. Vascular rings, slings, and other arch anomalies. In: Kaiser LR, Kron IL, Spray TL, editors. Mastery of cardiothoracic surgery. 2nd ed. Lippincott Williams & Wilkins; 2007. p. 722–38.
Received 8 September 2008; received in revised form 10 October 2008; accepted 13 October 2008; available online 10 December 2008 ∗
Tel.: +380 442387792. E-mail address: [email protected] (O. Kondrachuk).
© 2008 Australasian Society of Cardiac and Thoracic Surgeons and the Cardiac Society of Australia and New Zealand. Published by Elsevier Inc. All rights reserved.
1443-9506/04/$30.00 doi:10.1016/j.hlc.2008.10.007
221 IMAGES
Heart, Lung and Circulation 2009;18:219–221
Double Aortic Arch with Left Arch Atresia Oleksandr Kondrachuk, MD ∗ , Tetyana Yalynska, PhD, Raad Tammo, MD, Yevgeniya Yershova, MD, Nadija Rokitska, MD and Illya Yemets, PhD Ukrainian Children’s Cardiac Center, Chornovola Street 28/1, 01135 Kyiv, Ukraine
A
2-year-old girl, having an echocardiogram suggestive of double aortic arch, underwent a cardiac multidetector computed tomography (MDCT) examination. MDCT revealed double aortic arch with left arch atresia distal to the left subclavian artery. The left common carotid artery and the left subclavian artery arose from the left arch, the right common carotid artery and the right subclavian artery originated from the right arch (Fig. 1). Moderate compression of the trachea within the vascular ring was also noted (Fig. 2). Surgical intervention was not performed because of the absence of symptoms due to compression of the oesophagus or trachea.
Fig. 2.
Double aortic arch is a rare congenital heart defect. It was first described by Hommel in 1737 [1]. The diagnosis is easily missed. MDCT provides high-resolution images of both the central airways and the vascular structures. Evaluation of cardiovascular malformations and airway lesions can be accomplished with a single non-invasive examination.
Reference
Fig. 1.
[1] Austin III EH, Kavarana MN. Vascular rings, slings, and other arch anomalies. In: Kaiser LR, Kron IL, Spray TL, editors. Mastery of cardiothoracic surgery. 2nd ed. Lippincott Williams & Wilkins; 2007. p. 722–38.
Received 8 September 2008; received in revised form 10 October 2008; accepted 13 October 2008; available online 10 December 2008 ∗
Tel.: +380 442387792. E-mail address: [email protected] (O. Kondrachuk).
© 2008 Australasian Society of Cardiac and Thoracic Surgeons and the Cardiac Society of Australia and New Zealand. Published by Elsevier Inc. All rights reserved.
1443-9506/04/$30.00 doi:10.1016/j.hlc.2008.10.007