Surgical repair of cervical aortic arch: An alternative classification scheme based on experience in 35 patients

Fetal echocardiographic diagnosis of a triad with common embryological origins: Cervical aortic arch, retro‐aortic left innominate vein and coarctation of the aorta

“…4,5 Vascular rings are often noted with CAA and two reports note that a vascular ring was present in all patients with a right CAA and aberrant left subclavian artery. 1,6 The coarctations are atypical in that they are usually long segment, and may arise beyond the attachment of the ductus arteriosus. 7 Embryologically, the arterial system develops from bilaterally symmetrical pairs of aortic arches that undergo remodeling to form the adult pattern.…”

“…Emphasizing the frequency of vascular rings in CAA, Zhong et al note that a ring may be secondary either to a contralateral descending aorta or an aberrant subclavian artery. 1 Isolated subclavian artery, a rare anomaly, has also been reported with a CAA and a coarctation. 13 The CAA in our patient was left sided with a left descending aorta and an aberrant right subclavian artery with no vascular ring.…”

“…A patients with a right aortic arch. 1 Most commonly, the heart is struc-turally normal but a CAA is frequently associated with arch abnormalities such as a vascular ring, pseudo-coarctation, coarctation, aortic aneurysm and even aortic rupture. 4,5 Vascular rings are often noted with CAA and two reports note that a vascular ring was present in all patients with a right CAA and aberrant left subclavian artery.…”

“…A CAA is a rare anomaly which was first defined in 1914 as an arch that rises above the clavicle. No more than 200 cases are reported in the literature 1 and only one prenatally 2 . In 1975, Haughton described five types based on arch sidedness, descending aortic laterality, and the sequence of brachiocephalic artery branching 3 .…”

“…More recently, Zhong et al. have proposed a simpler classification based on the arch sidedness and the presence of a vascular ring which was noted in all of their patients with a right aortic arch 1 4,5 .…”