title: Complex Cervical Aortic Arch With Hypoplasia: A Simple Solution to a Complex Problem.
abstract: We report a rare case of a 6-year-old boy with a complex right-sided cervical aortic arch, with retroesophageal hypoplastic transverse arch, left subclavian artery arising from the Kommerell diverticulum of the descending aorta, and a vascular ring formed by the ductus ligament. An extraanatomic ascending-to-descending aorta bypass was done through a median sternotomy along with division of the ductus ligament, without any complications and good results.
authors.affiliation: Department of Cardiovascular Surgery, Shahid Gangalal National Heart Center, Kathmandu, Nepal. Electronic address: rajbanshi.bijoy@gmail.com.
authors.forename: Bijoy G
authors.initials: BG
authors.lastname: Rajbanshi
authors.affiliation: Department of Cardiovascular Surgery, Shahid Gangalal National Heart Center, Kathmandu, Nepal.
authors.forename: Navin C
authors.initials: NC
authors.lastname: Gautam
authors.affiliation: Department of Cardiovascular Surgery, Shahid Gangalal National Heart Center, Kathmandu, Nepal.
authors.forename: Sidhartha
authors.initials: S
authors.lastname: Pradhan
authors.affiliation: Department of Anesthesiology, Shahid Gangalal National Heart Center, Kathmandu, Nepal.
authors.forename: Apurb
authors.initials: A
authors.lastname: Sharma
authors.affiliation: Department of Radiology, Tribhuwan University Teaching Hospital, Kathmandu, Nepal.
authors.forename: Ram K
authors.initials: RK
authors.lastname: Ghimire
authors.affiliation: Division of Cardiac Surgery, Mayo Clinic and Foundation, Rochester, Minnesota.
authors.forename: Lyle D
authors.initials: LD
authors.lastname: Joyce
mesh_terms: D001013:Aorta, Thoracic / Q000002:abnormalities* / Q000601:surgery; D006328:Cardiac Catheterization; D002648:Child; D004452:Echocardiography; D006801:Humans; D008297:Male; D009333:Neck / Q000098:blood supply; D056346:Sternotomy; D013348:Subclavian Artery / Q000002:abnormalities