title: One-stage repair of aberrant left brachiocephalic artery and coarctation of the aorta in right aortic arch.
abstract: The combination of right aortic arch with aberrant left brachiocephalic artery and aortic coarctation is very rare. Here, we report the case of a 3.1-kg neonate with multiple malformations who received detailed preoperative anatomical definition by chest computed tomography (CT) scan and eventually underwent one-stage repair at the age of 17 days. The surgical technique included left brachiocephalic artery detachment and its end-to-end anastomosis to the branch of a monofurcated pulmonary homograft used to treat the aortic arch coarctation simultaneously. Postoperative control chest CT scan performed 3 months postoperatively revealed optimal repair. Considerations on imaging and surgical technique are reported.
authors.affiliation: Department of Pediatric Cardiology and Cardiac Surgery, Bambino Gesù Children's Hospital IRCCS, Roma, Italy. dottorgandolfo@hotmail.com
authors.forename: Fabrizio
authors.initials: F
authors.lastname: Gandolfo
authors.forename: Sonia B
authors.initials: SB
authors.lastname: Albanese
authors.forename: Aurelio D M
authors.initials: AD
authors.lastname: Secinaro
authors.forename: Adriano
authors.initials: A
authors.lastname: Carotti
mesh_terms: D000015:Abnormalities, Multiple; D001013:Aorta, Thoracic / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000601:surgery*; D001017:Aortic Coarctation / Q000175:diagnosis / Q000601:surgery*; D001027:Aortography / Q000379:methods; D019917:Blood Vessel Prosthesis Implantation; D016122:Brachiocephalic Trunk / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000601:surgery*; D006348:Cardiac Surgical Procedures; D006801:Humans; D007231:Infant, Newborn; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
keywords: Aberrant left brachiocephalic artery; Right aortic arch; Vascular ring