Left cervical aortic arch with proximal obstruction.
Cervical aortic arch is a rare congenital anomaly. We present a case of left-sided cervical aortic arch, found in a patient with mitral regurgitation, mitral stenosis, and a regurgitant bicuspid aortic valve. There was atypical obstruction proximally within the arch. The obstructive segment was resected, and corrected by performing an end-to-side anostomosis. Mitral valvoplasty was performed in the same surgical procedure. To the best of our knowledge, a cervical arch has not previously been described with such atypical obstruction, and in association with multiple lesions involving the left heart.
Oztunç
Funda
F
Department of Pediatrics, Section of Pediatric Cardiology, Cerrahpaşa Faculty of Medicine, University of Istanbul, Istanbul, Turkey. foztunc@yahoo.com
Babaoĝlu
Kadir
K
Türkoglu
Halil
H
D000015:Abnormalities, Multiple / Q000175:diagnosis* / Q000601:surgery; D000293:Adolescent; D001013:Aorta, Thoracic / Q000002:abnormalities*; D001017:Aortic Coarctation / Q000175:diagnosis* / Q000601:surgery; D001022:Aortic Valve Insufficiency / Q000175:diagnosis* / Q000601:surgery; D006328:Cardiac Catheterization; D006348:Cardiac Surgical Procedures / Q000379:methods; D003131:Combined Modality Therapy; D005500:Follow-Up Studies; D006801:Humans; D018810:Magnetic Resonance Angiography; D008297:Male; D008944:Mitral Valve Insufficiency / Q000175:diagnosis* / Q000601:surgery; D018570:Risk Assessment; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods