Interrupted aortic arch and aortic atresia with circle of Willis-dependent coronary perfusion.
We present a case of type B interrupted aortic arch and aortic atresia. This combination is usually incompatible with life. However, the presence of an aberrant right subclavian artery and enough blood flow through the circle of Willis allowed perfusion of the coronary arteries through retrograde carotid and aortic blood flow. A two-ventricular repair was successfully undertaken.
Tannous
Henry J
HJ
Children's National Medical Center, Washington, District of Columbia, USA. henrytannous@hotmail.com
Moulick
Achintya N
AN
Jonas
Richard A
RA
D001013:Aorta, Thoracic / Q000002:abnormalities*; D006348:Cardiac Surgical Procedures; D002941:Circle of Willis / Q000502:physiology*; D003326:Coronary Circulation; D006345:Heart Septal Defects, Ventricular / Q000601:surgery; D006801:Humans; D007231:Infant, Newborn; D008297:Male