Translocation of the Aortic Arch with Norwood Procedure for Hypoplastic Left Heart Syndrome Variant with Circumflex Retroesophageal Aortic Arch

Lee, Chee-Hoon; Seo, Dong Ju; Bang, Jin-Hee; Goo, Hyun Woo; Park, Jeong-Jun

doi:10.5090/kjtcs.2014.47.4.389

Cited by 5 publications

(4 citation statements)

References 8 publications

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“…This anomaly has been scarcely seen in the prenatal setting, mainly because of its rarity and its differential diagnosis with a simple right aortic arch with an aberrant left subclavian artery 43 , 44 . The association with congenital heart disease is common, and it can be responsible for compressive symptoms 45 …”

Section: Aortic Arch Anomalies With 3 Vessels In the 3‐vessel And Tramentioning

confidence: 99%

Fetal Aortic Arch Anomalies

Bravo

Gámez

Pérez

et al. 2015

J of Ultrasound Medicine

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Aortic arch anomalies are present in 1% to 2% of the general population and are commonly associated with congenital heart disease, chromosomal defects, and tracheaesophageal compression in postnatal life. The sonographically based detection of aortic arch anomalies lies in the 3-vessel and trachea view. Although highly sensitive, this view alone does not allow identification of the aortic arch branching pattern, which prevents an accurate diagnosis. The systematic addition of a subclavian artery view as part of a standardized procedure may be useful in the differential diagnosis of these conditions. We describe the sonographic assessment of fetal aortic arch anomalies by combining 2 fetal transverse views: the 3-vessel and trachea view and the subclavian artery view, which are included in the cardiovascular system sonographic evaluation protocol. We also review the sonographic findings and the clinical implications of fetal aortic arch anomalies.

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Section: Aortic Arch Anomalies With 3 Vessels In the 3‐vessel And Tramentioning

confidence: 99%

Fetal Aortic Arch Anomalies

Bravo

Gámez

Pérez

et al. 2015

J of Ultrasound Medicine

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“…As a result of the successful translocation of the aorta, the airway compression was relieved. 36 Video-assisted thoracoscopic surgery From a paper by Boston group on video-assisted thoracoscopic surgery (VATS) for vascular rings it is clear that VATS does not appear as the procedure of choice for patients with vascular rings. The two key factors that have precluded VATS becoming widely adapted for patients with vascular rings are, the very word "vascular" with its implications and the use of advanced medical imaging which precisely defines the actual multifactorial anatomic causes of tracheoesophageal compression from "vascular rings."…”

Section: Majority Of Patients Did Not Have Any Previous Oper-mentioning

confidence: 99%

Circumflex aorta: An uncharted territory

Haranal

Srimurugan

Sivalingam

2021

Asian Cardiovasc Thorac Ann

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Background Vascular rings are aortic arch anomalies with a spectrum of manifestations ranging from asymptomatic lesions detected incidentally to an acute presentation secondary to tracheo-esophageal compression. Circumflex retro-esophageal aortic arch is an extreme form of true vascular ring. It remains an uncharted territory to many surgeons. Methods A comprehensive search of peer reviewed journals was completed based on the key words, “Circumflex aorta,” “Circumflex retro-esophageal aorta” and “circumflex arch” using Google scholar, Scholars Portal Journals and PubMed. The reference section for each article found was searched to obtain additional articles. Literature on the circumflex aorta was reviewed starting from the embryogenesis to the latest management strategies. Results Right circumflex aorta is more prevalent compared to left circumflex aorta. It can occur in isolation or in association with other intracardiac lesions. Mainly presents in children, however reported in adults too. The presentation may vary from asymptomatic lesion to acute respiratory distress secondary to airway compression. Computerized tomography (CT) and magnetic resonance imaging (MRI) are important tools in delineating the vascular anatomy. Aortic uncrossing is the definitive procedure. However, the role of concomitant tracheobronchopexy is emerging. Native tissue-to-tissue anastomosis is commonly preferred, but cases of extra-anatomic grafts are reported. Conclusion Circumflex aorta is amenable to complete repair. Preoperative delineation of anatomy is important for successful surgical outcome. Division of the retro-esophageal segment is crucial in relieving the compressive symptoms. In addition, tracheobronchopexy is helpful in addressing residual tracheomalacia but this accounts for a high-risk surgery.

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“…A completion Norwood procedure was done on day of life 30. 4 To our knowledge, the case described in this report is the first case of a "classic" circumflex aorta (retroesophageal right aortic arch and left-sided descending aorta) with a left ductus arteriosus in a patient with univentricular congenital heart disease. Our surgical approach to this patient was a modification of the uncrossing procedure as originally described in 1984.…”

Section: Commentmentioning

confidence: 71%

Modified Aortic Uncrossing Procedure: A Novel Approach for Norwood Palliation of Complex Univentricular Congenital Heart Disease With a Circumflex Aorta

Bryant

Wallen

Rizwan

et al. 2017

World J Pediatr Congenit Heart Surg

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The circumflex aorta is a rare type of true vascular ring anomaly. It consists of a retroesophageal right aortic arch, a left-sided descending thoracic aorta, and a left-sided ligamentum arteriosum. The "aortic uncrossing procedure" described by Planché and Lacour-Gayet is the procedure of choice for managing this aortic anomaly in patients with a biventricular heart. The presence of a circumflex aorta in a patient with heterotaxy syndrome and univentricular congenital heart disease requiring Norwood palliation is highly unusual. We report such a case and describe our approach to its surgical management.

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Translocation of the Aortic Arch with Norwood Procedure for Hypoplastic Left Heart Syndrome Variant with Circumflex Retroesophageal Aortic Arch

Cited by 5 publications

References 8 publications

Fetal Aortic Arch Anomalies

Fetal Aortic Arch Anomalies

Circumflex aorta: An uncharted territory

Modified Aortic Uncrossing Procedure: A Novel Approach for Norwood Palliation of Complex Univentricular Congenital Heart Disease With a Circumflex Aorta

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