Left aortic arch with right descending aorta and right ligamentum arteriosum associated with d-TGA and large VSD: Surgical treatment of a rare form of vascular ring

Watanabe, Mikio; Kawasaki, Shiori; Satô, Hiroshi; Minami, K; Shimazaki, Shinjiro; Akimoto, Katumi; Ino, Toshihiro; Hosoda, Yasuhiro

doi:10.1016/0022-3468(95)90507-3

Cited by 13 publications

(8 citation statements)

References 9 publications

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“…Circumflex or encircling aortic arch is a rare form of vascular ring, usually associated with severe tracheobronchial compression [Bruniaux 1984;Minami 1986;Traxer 1998;Watanabe 1995], created by a ligamentum arteriosum or by the retroesophageal aorta itself. The treatment in symptomatic patients consists of surgical ligation and division of the ligamentum arteriosum, which usually allows the trachea and esophagus to be freed of compression by this vascular ring.…”

Section: Discussionmentioning

confidence: 99%

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Asymptomatic Right Circumflex Aortic Arch Associated with Ventricular Septal Defect and Biscuspid Aortic Valve

Tissot

Didier

Beghetti

et al. 2015

HSF

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Previous reports have described the association of circumflex aortic arch with VSD, but there is no previous report of its association with VSD and bicuspid aortic valve. Patients are usually symptomatic either preoperatively, or after VSD repair. For this reason, division of the ligamentum arteriosum, to open the vascular ring and free the trachea and esophagus from compression, should be performed in patients undergoing cardiac surgery for associated malformations.

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Section: Discussionmentioning

confidence: 99%

“…Previous reports have described the association of circumflex aortic arch with VSD [Bruniaux 1984;Watanabe 1995], but there is no previous report of its association with VSD and bicuspid aortic valve. Patients are usually symptomatic either preoperatively, or after VSD repair.…”

Section: Discussionmentioning

confidence: 99%

Asymptomatic Right Circumflex Aortic Arch Associated with Ventricular Septal Defect and Biscuspid Aortic Valve

Tissot

Didier

Beghetti

et al. 2015

HSF

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“…This may be seen in some conotruncal anomalies such as tetralogy of Fallot, truncus arteriosus, pulmonary atresia with a ventricular septal defect, and an absent pulmonary valve, but it could be an isolated sign in a fetus with a right-sided aortic arch. 41,42 One can have a right-descending aorta with a "left" or "right" aortic arch (terminology that refers to the position of the arch compared to the trachea, not the absolute position of the arch in the chest). …”

Section: Casementioning

confidence: 99%

A Review of Findings in Fetal Cardiac Section Drawings

Jeanty¹,

Chaoui²,

Tihonenko

et al. 2007

Journal of Ultrasound in Medicine

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Objectives. The goal of this presentation is to review some of the common and rare fetal heart abnormalities and to provide an easy approach to these findings with schematic drawings. Methods. Over the past 10 years, we collected cases in which the common views of the heart were abnormal and the differential diagnoses that existed for each. The presentation shows the normal sonographic sections and then variations of these sections and the associated anomalies. We used illustrative drawings to present these findings, enabling us to point out the main sonographic features of abnormalities of the heart. Results. The work reviews 17 fetal heart abnormalities in schematic drawings. Conclusions. This short review highlights several of the anomalies that can be recognized on the common sonographic views. The drawings tend to simplify the findings but serve as a basis for those doing fetal echocardiography when they encounter an unusual finding.

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“…Angiography may be the only imaging modality which provides anatomic definition in rare vascular anomalies. 10,15,[22][23][24][25][26] It may be indicated when an associated cardiac anomaly is suspected, and when concomitant surgical correction of a heart defect is planned. Alternatively, echocardiography is often sufficient, both to rule out a pulmonary arterial sling, and to assess intracardiac anatomy.…”

Section: Symptoms and Diagnostic Work-upmentioning

confidence: 99%

Vascular rings and pulmonary arterial sling: from respiratory collapse to surgical cure, with emphasis on judicious imaging in the hi-tech era

et al. 2002

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Vascularr rings, and pulmonary arterial slings, are relatively rare vascular anomalies, but are importantt lesions to recognize, since if left untreated, patients may experience life-threatening respiratoryy compromise and "near death" episodes. Surgical therapy, however, is almost alwayss curative. As most infants and children initially present with respiratory symptoms, theyy are frequently referred to and managed by pulmonologists and otorinolaryngologists beforee being presented to a surgical team. A high index of suspicion is necessary to direct thee diagnostic work-up, which may rapidly reveal the correct diagnosis, and allow for timely surgicall repair.

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Left aortic arch with right descending aorta and right ligamentum arteriosum associated with d-TGA and large VSD: Surgical treatment of a rare form of vascular ring

Cited by 13 publications

References 9 publications

Asymptomatic Right Circumflex Aortic Arch Associated with Ventricular Septal Defect and Biscuspid Aortic Valve

Asymptomatic Right Circumflex Aortic Arch Associated with Ventricular Septal Defect and Biscuspid Aortic Valve

A Review of Findings in Fetal Cardiac Section Drawings

Vascular rings and pulmonary arterial sling: from respiratory collapse to surgical cure, with emphasis on judicious imaging in the hi-tech era

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