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Atresia of the aortic arch, with a collateral artery from the right subclavian artery supplying the descending aorta

Published online by Cambridge University Press:  20 December 2007

Béatrice Bonello ,
Olivier Ghez  and
Alain Fraisse
Béatrice Bonello
Affiliation:
Département de Cardiologie (Pédiatrique), Hôpital de la Timone, Marseille
Olivier Ghez
Affiliation:
Service de Chirurgie Thoracique et Cardiovasculaire, Hôpital d’Enfants de la Timone, Marseille, France
Alain Fraisse*
Affiliation:
Département de Cardiologie (Pédiatrique), Hôpital de la Timone, Marseille
*
Correspondence to: Alain Fraisse, Département de Cardiologie, Hôpital de la Timone, Boulevard Jean Moulin, 13005 Marseille, France. Tel: +33 491 38 67 50; Fax: +33 491 38 56 38; E-mail: alain.fraisse@ap-hm.fr
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Abstract

An infant of 2 months presented with absence of the femoral pulses, albeit with no signs of cardiac failure. The mother was known to have ingested Valproate during pregnancy. Echocardiography showed the aortic arch to be interrupted between the left common carotid and left subclavian arteries, so-called type B interruption, in the setting of an intact ventricular septum. Angiography, and multislice computed tomography, revealed the descending aorta to be supplied by a collateral artery originating from the right subclavian artery. Corrective surgery was successfully performed, but revealed an atretic segment of the arch at the site of interruption of flow.

Keywords

Multi-slice computed angiographyvalproatesurgery
Type
Brief Report
Information
Cardiology in the Young , Volume 18 , Issue 1 , February 2008 , pp. 105 - 107
Copyright
Copyright © Cambridge University Press 2008

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