Surgical management in paediatric patients with left abnormal subclavian artery and right aortic arch.
Left abnormal subclavian artery and right aortic arch is described as a rare cause of dyspnoea and dysphagia in paediatric patients. The optimal surgical management of such cases is not clearly established. We propose a single-stage repair by transection of the patent ductus arteriosus or ligamentum arteriosum and an additional transection of the left abnormal subclavian artery with reimplantation into the common carotid artery.
Sodian
R
R
Department of Cardiac Surgery, Klinikum Grosshadern, Ludwig Maximilians University, Munich, Germany. ralf.sodian@med.uni-muenchen.de
Rassoulian
D
D
Kaczmarek
I
I
Kozlik-Feldmann
R
R
Huber
A
A
Reichart
B
B
Daebritz
S
S
D000293:Adolescent; D001013:Aorta, Thoracic / Q000002:abnormalities* / Q000601:surgery; D001027:Aortography; D018376:Cardiovascular Abnormalities / Q000150:complications / Q000601:surgery*; D002675:Child, Preschool; D003680:Deglutition Disorders / Q000209:etiology; D004417:Dyspnea / Q000209:etiology; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D013348:Subclavian Artery / Q000002:abnormalities* / Q000601:surgery