Hostname: page-component-77c89778f8-7drxs Total loading time: 0 Render date: 2024-07-16T16:41:16.017Z Has data issue: false hasContentIssue false

Vascular ring associated with d-transposition of the great arteries: when should we suspect aortic arch anomalies?

Published online by Cambridge University Press:  17 September 2018

Katsutoshi Nakano
Affiliation:
Division of Cardiology, National Center for Child Health and Development, Tokyo, Japan Department of Pediatrics, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan
Taiyu Hayashi*
Affiliation:
Division of Cardiology, National Center for Child Health and Development, Tokyo, Japan
Hiroshi Ono
Affiliation:
Division of Cardiology, National Center for Child Health and Development, Tokyo, Japan
*
Author for correspondence: T. Hayashi, MD, Division of Cardiology, National Center for Child Health and Development, 2-10-1 Okura, Setagaya-ku, Tokyo 1578535, Japan. Tel: +81 3 3416 0181; Fax: +81 3 3416 2222; E-mail: taiyuhayashi@gmail.com

Abstract

A male neonate with d-transposition of the great arteries was diagnosed with the concomitant anomaly of left circumflex aortic arch and right-sided ductus arteriosus, which formed a vascular ring. Initial postnatal echocardiography had demonstrated an obscured aortic isthmus mimicking coarctation of the aorta, which could be a diagnostic clue to circumflex aortic arch.

Type
Brief Report
Copyright
© Cambridge University Press 2018 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Backer, CL, Mavroudis, C, Rigsby, CK, Holinger, LD. Trends in vascular ring surgery. J Thorac Cardiovasc Surg 2005; 129: 13391347.Google Scholar
2. Smith, BM, Lu, JC, Dorfman, AL, Mahani, MG, Agarwal, PP. Rings and slings revisited. Magn Reson Imaging Clin N Am 2015; 23: 127135.Google Scholar
3. Philip, S, Chen, SY, Wu, MH, Wang, JK, Lue, HC. Retroesophageal aortic arch: diagnostic and therapeutic implications of a rare vascular ring. Int J Cardiol 2001; 79: 133141.Google Scholar
4. Kupferschmid, JP, Burns, SA, Jonas, RA, Keane, JF, Spevak, PJ, Wernovsky, G. Repair of double aortic arch associated with D-transposition of the great arteries. Ann Thorac Surg 1993; 56: 570572.Google Scholar
5. Zhou, D, Song, L, Tao, L, Zhou, H. D-TGA combined with left arch atresia of a double aortic arch. Heart Lung Circ 2017; 26: e76e78.Google Scholar
6. Watanabe, M, Kawasaki, S, Sato, H, et al. Left aortic arch with right descending aorta and right ligamentum arteriosum associated with d-TGA and large VSD: surgical treatment of a rare form of vascular ring. J Pediatr Surg 1995; 30: 13631365.Google Scholar
7. Bleakney, CA, Zafar, F, Fraser, CD Jr. Circumflex right aortic arch with associated hypoplasia and coarctation: repair by aortic arch advancement and end-to-side anastomosis. Ann Thorac Surg 2011; 91: 624626.Google Scholar
8. Bader, V, Walayat, M, Smith, B, Davidson, M, Maroo, S, Danton, MH. Circumflex retroesophageal aorta mimicking aortic interruption: a rare cause of aortic obstruction in a neonate. World J Pediatr Congenit Heart Surg 2014; 5: 599602.Google Scholar
9. Binsalamah, ZM, Chacon-Portillo, MA, Sanyahumbi, A, et al. Circumflex aorta with double aortic arch in an infant. J Card Surg 2018; 33: 292295.Google Scholar