Abstract
This is the second reported case of coarctation in a right aortic arch with an aberrant left brachiocephalic artery. In this patient, the right subclavian artery is aneurysmal, making this case unique. There is a pressure gradient of 34 mm Hg between ascending and descending aorta. Both the conventional and computed tomography angiographic images are presented. This is the first reported case to include imaging of this anatomy prior to surgery. It is also the first report of primary surgical management following a correct initial diagnosis.
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Aortogram (left anterior oblique projection) demonstrating the abnormal branching pattern of the right aortic arch (MOV 136 kb)
Aortogram (lateral projection). There is tubular hypoplasia of the transverse aorta between the origin of the right common carotid artery and the aneurysmal right subclavian artery (MOV 123 kb)
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McBrien, A., Paterson, A., Gladstone, D. et al. A Case of Coarctation in a Right Aortic Arch with an Aneurysmal Right Subclavian Artery and Aberrant Left Brachiocephalic Artery. Pediatr Cardiol 29, 1011–1013 (2008). https://doi.org/10.1007/s00246-008-9251-y
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DOI: https://doi.org/10.1007/s00246-008-9251-y