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Isolation of the left subclavian artery: a rare aortic arch anomaly

Published online by Cambridge University Press:  24 September 2014

Mahesh K. Saktheeswaran*
Affiliation:
Department of Cardiology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
Kavaserry Mahadevan Krishnamoorthy
Affiliation:
Department of Cardiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, India
Sivasubramonian Sivasankaran
Affiliation:
Department of Cardiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, India
*
Correspondence to: Dr M. K. Saktheeswaran, MD, DM (Cardiology), Department of Cardiology, Jawaharlal Institute of Postgraduate Medical Education and Research, Dhanvantrinagar Post, Gorimedu, Puducherry 605006, India. Tel: +91 915 949 4128; Fax: 04132279672; E-mail: maheshpaed@yahoo.co.in

Abstract

Isolation of the left subclavian artery is a rare anomaly associated with acyanotic CHDs and right aortic arch. This condition can be asymptomatic or can present with neurological and left upper-limb ischaemic symptoms; it does not form a vascular ring. Treatment options include implantation of the subclavian artery to the aortic arch vessels and closure of the patent ductus arteriosus to prevent pulmonary run off. Here we describe a child who was incidentally detected to have this condition during evaluation of atrial septal defect for device closure.

Type
Brief Reports
Copyright
© Cambridge University Press 2014 

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References

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