title: Isolated right subclavian artery with interrupted aortic arch, ventricular septal defect, and left ventricular outflow tract obstruction.
abstract: We present two cases of isolated right subclavian artery from the right pulmonary artery (PA) associated with interrupted aortic arch, ventricular septal defect, left ventricular outflow tract obstruction, and 22q11 microdeletion. Both patients were successfully managed with bilateral PA banding initially followed by a modified Yasui operation. Isolation of the subclavian artery is rare but should always be taken into account, especially when bilateral PA banding is considered. The banding must then be placed on the PA distal to the origin of the subclavian artery.
authors: Department of Pediatric Cardiology of the Emma Children's Hospital, Academic Medical Centre, Amsterdam, the Netherlands s.a.clur@amc.nl.
authors: Arianne S
authors: AS
authors: Te Hoven
authors: Department of Pediatric Cardiology of the Emma Children's Hospital, Academic Medical Centre, Amsterdam, the Netherlands Center for Congenital Heart Anomalies Amsterdam-Leiden (CAHAL), Leiden, the Netherlands.
authors: Sally-Ann B
authors: SA
authors: Clur
authors: Center for Congenital Heart Anomalies Amsterdam-Leiden (CAHAL), Leiden, the Netherlands.
authors: Joaquin Perez
authors: JP
authors: Andreu
authors: Center for Congenital Heart Anomalies Amsterdam-Leiden (CAHAL), Leiden, the Netherlands Department of Cardio-thoracic Surgery, Leiden University Medical Centre, Leiden, the Netherlands.
authors: Mark G
authors: MG
authors: Hazekamp
mesh_terms: D001013:Aorta, Thoracic / Q000601:surgery; D001017:Aortic Coarctation / Q000150:complications / Q000209:etiology / Q000601:surgery; D016122:Brachiocephalic Trunk; D006345:Heart Septal Defects, Ventricular / Q000601:surgery*; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D011651:Pulmonary Artery / Q000002:abnormalities*; D012086:Reoperation; D013348:Subclavian Artery / Q000002:abnormalities*; D014694:Ventricular Outflow Obstruction / Q000151:congenital* / Q000209:etiology / Q000601:surgery
keywords: Norwood procedure; congenital heart disease; congenital heart surgery; embryology; interrupted aortic arch; patent ductus arteriosus; pediatric; ventricular septal defect