title: Coarctation of right aortic arch with left descending aorta in an adult.
abstract: We report an adult case of right aortic arch coarctation with a left descending aorta. Associated anomalies included dextrocardia, situs inversus, polysplenia, bilateral superior vena cava, and absent inferior vena cava with azygos connection. Extensive mobilization of the azygos vein was needed to obtain a good surgical field, including the left descending aorta via a right thoracotomy, and the lesion was anatomically repaired by resection and end-to-end anastomosis.
authors.affiliation: Department of Cardiovascular Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, 2-5-1 Shikata-cho, Okayama, 700-8558, Japan. mhirota@md.okayama-u.ac.jp
authors.forename: Masanori
authors.initials: M
authors.lastname: Hirota
authors.forename: Kozo
authors.initials: K
authors.lastname: Ishino
authors.forename: Masaaki
authors.initials: M
authors.lastname: Kawada
authors.forename: Shunji
authors.initials: S
authors.lastname: Sano
mesh_terms: D000367:Age Factors; D000714:Anastomosis, Surgical; D001013:Aorta, Thoracic / Q000002:abnormalities* / Q000601:surgery*; D001017:Aortic Coarctation / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery*; D001027:Aortography; D001401:Azygos Vein / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D012857:Situs Inversus; D013908:Thoracotomy; D014057:Tomography, X-Ray Computed; D014682:Vena Cava, Inferior / Q000002:abnormalities; D014683:Vena Cava, Superior / Q000002:abnormalities