Ductal Arteriosus Aneurysm, Right Aortic Arch, and Isolated Left Subclavian Artery in a Neonate

Scott, Claudeen; Meyer, David; Phoon, Colin K.L.; Srichai, Monvadi B.

doi:10.1111/j.1747-0803.2008.00235.x

Cited by 4 publications

(1 citation statement)

References 8 publications

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“…Männer et al (20) summarized that of 63.63% (7/11) of cases with ILIA were associated with CHD and septal defect more frequently. D-transposition of the great artery (4,5,7), DORV (21), interruption of the aortic arch with VSD (6), PA sling (22), and ductal arteriosus aneurysm (23) were also reported in cases of IABA.…”

Section: Discussionmentioning

confidence: 99%

Prenatal diagnosis of isolation of aortic brachiocephalic artery

et al. 2021

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Background Isolated aortic brachiocephalic artery (IABA) is a rare congenital aortic arch anomaly. It is difficult to diagnose IABA prenatally and the prevalence in the prenatal population is unknown. Purpose To evaluate the echocardiographic characteristics and associations in fetuses with IABA. Material and Methods We retrospectively analyzed all cases of prenatal diagnosis of IABA from January 2012 to November 2020 and reviewed the follow-up results. Copy Number Variation Sequencing (CNV-Seq) was performed using the biological specimens of the of the fetuses and family members. Results Ten cases (10/45652, 0.022%) of IABA were identified in our center. The prevalence of the cases with isolated left subclavian artery (ILSCA) in the right aortic arch (RAA) population was 0.98% (6/613). The ILSCA was the most common isolated arch branch. All the isolated branches were on the opposite side of aortic arch in all the cases. The “ice stick” sign in the coronal section could be seen in most cases of IABA. Of the 10 cases, 8 (8/10, 80%) were associated with tetralogy of Fallot (TOF). Two cases of IABA were combined with 22q11.2 deletion syndrome. Conclusion IABA is a rare aortic anomaly. ILSCA was the most common isolated arch branch and TOF was the most common associated intra-cardiac anomaly. The “ice stick” sign in the coronal section could indicate a diagnosis of the IABA.

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Section: Discussionmentioning

confidence: 99%

Prenatal diagnosis of isolation of aortic brachiocephalic artery

et al. 2021

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Isolated left subclavian artery with right aortic arch: case report and literature review of 50 cases

Alhuzaimi

Aldawsari

Al-Ahmadi

2021

Gen Thorac Cardiovasc Surg

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Postoperative diaphragmatic paralysis after cardiac surgery in children: incidence, diagnosis and surgical management

ZHANG,

WANG,

et al. 2013

Chinese Medical Journal

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Background Cardiac surgery for congenital heart disease covers a wide spectrum from simple to complex cardiac and extracardiac malformations. Innovations in pediatric cardiac surgery and perioperative care over the past decades have allowed surgical correction or at least palliation in almost all complex congenital heart defects in the first years of life. Diaphragmatic paralysis (DP) due to phrenic nerve injury after congenital cardiac surgery is an important respiratory complication resulting with respiratory insufficiency, lung infections, prolonged hospital stay time and even death. Methods Between April 2001 and December 2010, among patients undergoing cardiac surgery for congenital heart disease, postoperative DP was diagnosed in 47/10 200 (0.46%) patients. Diaphragmatic placation was performed in 37/47 patients. DP was suspected in children who failed to wean from mechanical ventilation or in those with persistent respiratory distress when there is no cardiac cause. Decreased respiratory sounds in auscultation, paradoxical breathing during spontaneous ventilation and elevated hemidiaphragm on chest X-ray led us to use fluoroscopy, ultrasound and/ or electromyogram (EMG). When chest X-rays did not have a diagnostic value in patients with persistent respiratory distress, bilateral DP was suspected and immediate fluoroscopy of EMG was performed for diagnosis. In all patients, diaphragmatic placation was performed using a thoracic approach, through the sixth or seventh intercostals space with lateral thoracotomy. Results A total of 47 patients (21 females and 26 males) with a median age of 7.21 months (range 0.27-71 months) were diagnosed DP after cardiac surgery. The incidence of DP was 0.46% after cardiac surgery. The paralysed hemidiaphragm was left side in 26/47 (55.3%), right side in 17/47 (36.2%) and bilateral in 4/47 (8.5%) cases. The assisted ventilation time after cardiac surgery was (450±216) (116-856) hours. The median time from cardiac surgery to surgical placation was (24±14) (5-56) days. No patient died in this study. The follow-up period was (26.2±16.8) months. The position of the plicated diaphragm was normal on chest X-ray, in all plicated survivors within the 1st, 6th and 12th months after discharge. Conclusions DP caused by phrenic nerve injury during surgical intervention for congenital heart disease is an important risk factor in terms of morbidity during the postoperative period. Diaphragmatic placation appears a good option, especially in newborns and small children, to wean patients from mechanical ventilation and to prevent long-term side effects of mechanical ventilation.

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Ductal Arteriosus Aneurysm, Right Aortic Arch, and Isolated Left Subclavian Artery in a Neonate

Cited by 4 publications

References 8 publications

Prenatal diagnosis of isolation of aortic brachiocephalic artery

Prenatal diagnosis of isolation of aortic brachiocephalic artery

Isolated left subclavian artery with right aortic arch: case report and literature review of 50 cases

Postoperative diaphragmatic paralysis after cardiac surgery in children: incidence, diagnosis and surgical management

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