Left Arm Underdevelopment Secondary to an Isolated Left Subclavian Artery in Tetralogy of Fallot

Carnero-Alcázar, Manuel; Marianeschi, Stefano; Alonso, Enrique Ruiz; Torres, Enrique García; Comas, Juan V.

doi:10.1016/j.athoracsur.2009.07.057

Cited by 10 publications

(2 citation statements)

References 8 publications

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“…We describe a patient with ventricular septal defect, right aortic arch, isolation of the left subclavian artery, and a patent ductus arteriosus. An anomalous connection of the left subclavian artery to the pulmonary artery via a ductus can cause pulmonary steal syndrome and underdevelopment of the left upper limb 3, 4. Our patient had cerebral atrophy and developmental retardation that could be due to pulmonary and subclavian artery steal syndrome and probable vertebrobasilar insufficiency.…”

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confidence: 68%

Subclavian and pulmonary artery steal phenomenon in a patient with isolated left subclavian artery and right aortic arch

Hayabuchi

Inoue

Sakata

et al. 2012

J of Clinical Ultrasound

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We describe a patient with an isolated left subclavian artery associated with right aortic arch, patent ductus arteriosus, and ventricular septal defect. As the isolated left subclavian artery is supplied by the left vertebral artery in which blood flows in the retrograde direction, this anomaly is usually responsible for a congenital subclavian steal phenomenon. Atrophy of the left cerebral hemisphere and inverted left vertebral arterial flow were clearly depicted by echoencephalography in this patient, whose subclavian artery was connected to the main pulmonary artery by a patent ductus arteriosus.

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mentioning

confidence: 68%

Subclavian and pulmonary artery steal phenomenon in a patient with isolated left subclavian artery and right aortic arch

Hayabuchi

Inoue

Sakata

et al. 2012

J of Clinical Ultrasound

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“…Although TOF is an accepted risk factor for upper extremity ischaemia and upper extremity anomalies,3 there is no such report related to lower extremity ischaemia.…”

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confidence: 99%

Intrauterine lower extremity gangrene in a newborn with Tetralogy of Fallot

et al. 2016

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DESCRIPTIONIntrauterine gangrene of an extremity is a rare problem. Lower extremity gangrene is even rarer. 1 We present a case of lower extremity gangrene in combination with Tetralogy of Fallot (TOF) and postaxial polydactyly of the hand. A live male infant was delivered by caesarean section. Delivery occurred at the 34th week of gestation due to meconium aspiration and intrauterine growth retardation. The mother was 35 years of age and had three healthy children. She had been diagnosed with gestational hypertension during this pregnancy. The newborn patient weighed 1740 g (10th centile) and his length was 43 cm (25th centile). After birth, he developed respiratory distress and was intubated. Examination revealed postaxial polydactyly with palpable phalanxes on the left hand, with an attached necrotic soft tissue mass (figure 1), as well as lower extremity gangrene with a visible demarcation line on the left middle thigh (figures 2 and 3).Blood test results were normal except for a low platelet count of 73 000/mm 3 (normal range 130 000-510 000/mm 3 ), elevated D-dimer of 1154.88 ng/mL (normal range <500 ng/mL), low antithrombin III activity of 55% (normal range 70-125%) and low protein-S activity of 22% (normal range 33-93%).Doppler ultrasonography revealed blocked arterial flow below the level of the tibioperoneal trunk. The main, deep and superficial femoral and popliteal arteries were patent. The patient also had TOF, which was diagnosed by a cardiologist. A transfemoral amputation and polydactyly excision were performed on the third day after birth. The histopathological investigation of the tissue blocks from the amputation material was not helpful in identifying the aetiology. On the 32nd day after birth, the patient was operated for TOF. He died on the seventh postoperative day due to cardiac arrest.

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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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Left Arm Underdevelopment Secondary to an Isolated Left Subclavian Artery in Tetralogy of Fallot

Cited by 10 publications

References 8 publications

Subclavian and pulmonary artery steal phenomenon in a patient with isolated left subclavian artery and right aortic arch

Subclavian and pulmonary artery steal phenomenon in a patient with isolated left subclavian artery and right aortic arch

Intrauterine lower extremity gangrene in a newborn with Tetralogy of Fallot

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

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