Operation for Aortic Arch Anomalies

Richardson, James V.; Doty, Donald B.; Rossi, Nicholas P.; Ehrenhaft, Johann L.

doi:10.1016/s0003-4975(10)60994-0

Cited by 74 publications

(44 citation statements)

References 14 publications

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“…Similar to the report of Richardson et al [17], the most common lesion in our series was a right aortic arch and left ductus/ligamentum arteriosus (49% of patients). Few patients (7%) had an associated anomalous left sub- clavian artery, in contrast to that reported by Arciniegas et al [1].…”

Section: Discussionsupporting

confidence: 91%

Aortic Arch Complex Anomalies: 20-Year Experience with Symptoms, Diagnosis, Associated Cardiac Defects, and Surgical Repair

1997

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To better understand the clinical presentation and surgical management of children with aortic arch complex anomalies ("vascular rings"), a retrospective study was performed on patients who presented to Children's National Medical Center between the years 1969 and 1989. A total of 59 patients were identified ranging in age at admission from birth to 14 years, of whom 35 (59%) were male and 24 (41%) female. Patients were classified into four major subtypes based on their surgical anatomy, with 29 (49%) patients having right aortic arch and left ductus/ligamentum arteriosus, 21 (36%) double aortic arch, 6 (10%) anomalous left pulmonary artery, and 3 (5%) arch artery anomaly (no ring); 19 patients (32%) had associated cardiac defects. The mean (+/-SD) age at onset of symptoms was 4.6 +/- 14.0 months, and the age at surgical repair was 18 +/- 34 months. There were no intraoperative mortalities, but two late deaths occurred. Three (5%) patients had a surgical complication. In contrast to previous studies, the incidence of nonring lesions was lower and associated cardiac defects higher. Forty-nine percent of patients had symptoms present at birth, and patients with associated cardiac disease did not present earlier than those without. In patients with right aortic arch and left ductus/ligamentum arteriosus, few had an anomalous left subclavian artery. Finally, equal dominance of the arches was most frequent in patients with double aortic arch. Aortic arch complex anomalies present symptomatically in a variety of ways, and noninvasive methods are used to identify the specific lesion and associated cardiac defects. Surgical repair is associated with low or no mortality in patients with uncomplicated aortic arch complex anomalies.

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Section: Discussionsupporting

confidence: 91%

Aortic Arch Complex Anomalies: 20-Year Experience with Symptoms, Diagnosis, Associated Cardiac Defects, and Surgical Repair

1997

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“…La arteria subclavia aberrante es la anomalía más frecuente del desarrollo del arco aórtico 1 . Su incidencia reportada en la literatura va desde 0,4 hasta 2,3% 2 .…”

Section: Discussionunclassified

Tratamiento híbrido de arteria subclavia derecha aberrante

et al. 2013

Rev Chil Cir

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Hybrid treatment aberrant right subclavian artery Introduction: An aberrant right subclavian artery is the most frequent aortic arch malformation. It is frequently an incidental finding of imaging studies and serious complications may arise if left untreated. Clinical case: We present a case of a young woman with a dilated aberrant right subclavian artery that was successfully treated by a hybrid approach.

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“…There are a few studies that have identified the right subclavian artery arising from the aortic arch. According to J.V.Richardson et al [7] the right subclavian artery is the last branch of the AA in approximately 1% of individuals. In the literature the percentage range is between 0.13% and 25% R.A Bergman, A.K.Afifi [8].…”

Section: Methodsmentioning

confidence: 99%

A Study on Branching Pattern of Arch of Aorta With Its Embryological Significance and Review of Literature

Rao¹,

Meera²,

Sujatha³

et al. 2017

IJAR

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Introduction:The Arch of Aorta normally provides three major branches from its convex surface, before descending down as the thoracic aorta. The branches arranged from right to left are the brachiocephalic trunk, the left common carotid artery and the left subclavian artery. The right common carotid artery and the right subclavian artery are given off by the brachiocephalic trunk. Any variation in the origin and arrangement of these branches are considered to be deviations from the normal process of development of the aortic arches.

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Operation for Aortic Arch Anomalies

Cited by 74 publications

References 14 publications

Aortic Arch Complex Anomalies: 20-Year Experience with Symptoms, Diagnosis, Associated Cardiac Defects, and Surgical Repair

Aortic Arch Complex Anomalies: 20-Year Experience with Symptoms, Diagnosis, Associated Cardiac Defects, and Surgical Repair

Tratamiento híbrido de arteria subclavia derecha aberrante

A Study on Branching Pattern of Arch of Aorta With Its Embryological Significance and Review of Literature

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