title: Interrupted aortic arch with isolated persistent left superior vena cava in patient with Turners syndrome.
abstract: We present a case of 13-year-old female with Turner syndrome (TS), who presented with unexplained lower limbs swelling and ejection systolic murmur at the left second intercostal space. Suspicion of mild aortic coarctation was made by echocardiography. Computed tomography angiography (CTA) showed a complete interruption of the aortic arch (IAA) below the left subclavian artery with persistent left superior vena cava (PLSVC) and absent right SVC, defined as an isolated PLSVC. The patient underwent successful surgical correction after unsuccessful trial of transcatheter stent placement. We present this case of asymptomatic IAA to draw attention to the importance of CTA in diagnosing such rare anomalies and ruling out asymptomatic major cardiovascular abnormalities in patient with TS.
authors.affiliation: Department of Cardiology, Prince Sultan Cardiac Centre, Al-Qassim, Buraydah, Saudi Arabia.
authors.forename: M Obadah
authors.initials: MO
authors.lastname: Kattea
authors.affiliation: Department of Cardiology, Prince Sultan Cardiac Centre, Al-Qassim, Buraydah, Saudi Arabia; Department of Cardiac Imaging, Prince Sultan Cardiac Centre, Al-Qassim, Buraydah, Saudi Arabia.
authors.forename: Osama A
authors.initials: OA
authors.lastname: Smettei
authors.affiliation: Department of Internal Medicine, Northwestern Air Force Hospital, Tabuk, Saudi Arabia.
authors.forename: Abdulrahman
authors.initials: A
authors.lastname: Kattea
authors.affiliation: Department of Cardiology, Prince Sultan Cardiac Centre, Al-Qassim, Buraydah, Saudi Arabia; Department of Cardiac Imaging, Prince Sultan Cardiac Centre, Al-Qassim, Buraydah, Saudi Arabia.
authors.forename: Rami M
authors.initials: RM
authors.lastname: Abazid
keywords: Coarctation of aorta; Turner syndrome; interrupted aortic arch; left-sided superior vena cava