Hostname: page-component-76fb5796d-dfsvx Total loading time: 0 Render date: 2024-04-26T21:50:50.399Z Has data issue: false hasContentIssue false

Merged bilateral arterial duct and circumflex retroesophageal right aortic arch in a fetus with normal intracardiac anatomy

Published online by Cambridge University Press:  04 November 2019

Saïd Bichali*
Affiliation:
Pediatric Cardiology, Centre de Référence Malformations Cardiaques Congénitales Complexes – M3C, Necker Hospital for Sick Children, Assistance Publique des Hôpitaux de Paris, Paris, France Pediatric Cardiology, Hôpital Femme-Enfant-Adolescent, Centre Hospitalier Universitaire de Nantes, Nantes, France
Romulus Cristian Grigorescu
Affiliation:
Foetopathology, Hôpital Armand-Trousseau, Assistance Publique des Hôpitaux de Paris, Paris, France
Mathilde Lefebvre
Affiliation:
Foetopathology, Hôpital Armand-Trousseau, Assistance Publique des Hôpitaux de Paris, Paris, France
Charlotte Oriot
Affiliation:
Pediatrics, Hôpital Femme-Enfant-Adolescent, Centre Hospitalier Universitaire de Nantes, Nantes, France
Ferdinand Dhombres
Affiliation:
Obstetrics, Hôpital Armand-Trousseau, Assistance Publique des Hôpitaux de Paris, Paris, France
Damien Bonnet
Affiliation:
Pediatric Cardiology, Centre de Référence Malformations Cardiaques Congénitales Complexes – M3C, Necker Hospital for Sick Children, Assistance Publique des Hôpitaux de Paris, Paris, France Université Paris Descartes, Sorbonne Paris Cité, Paris, France
Lucile Houyel
Affiliation:
Pediatric Cardiology, Centre de Référence Malformations Cardiaques Congénitales Complexes – M3C, Necker Hospital for Sick Children, Assistance Publique des Hôpitaux de Paris, Paris, France Université Paris Descartes, Sorbonne Paris Cité, Paris, France
*
Author for correspondence: Saïd Bichali, Hôpital Femme-Enfant-Adolescent, 38 Boulevard Jean Monnet, 44093 Nantes, 0033240083333, France. E-mail: said_b91@hotmail.fr

Abstract

We report the case of a fetus with anamnios sequence and VACTERL syndrome, having a circumflex right aortic arch. Two arterial ducts join anteriorly to form a common vessel that connects to the pulmonary trunk with confluent pulmonary branches. Embryologically, the dorsal right 6th aortic arch did not disappear and the aortic arch development stopped in a symmetrical state with an exceptional “Y-shaped” merged bilateral arterial duct.

Type
Brief Report
Copyright
© Cambridge University Press 2019 

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

Li, S, Wen, H, Liang, M, et al. Congenital abnormalities of the aortic arch: revisiting the 1964 Stewart classification. Cardiovasc Pathol Off J Soc Cardiovasc Pathol 2018; 39: 3850.CrossRefGoogle ScholarPubMed
Freedom, RM, Moes, CA, Pelech, A, et al. Bilateral ductus arteriosus (or remnant): an analysis of 27 patients. Am J Cardiol 1984; 53: 884891.CrossRefGoogle ScholarPubMed
McLeary, MS, Frye, LL, Young, LW. Magnetic resonance imaging of a left circumflex aortic arch and aberrant right subclavian artery: the other vascular ring. Pediatr Radiol 1998; 28: 263265.CrossRefGoogle ScholarPubMed
Robotin, MC, Bruniaux, J, Serraf, A, et al. Unusual forms of tracheobronchial compression in infants with congenital heart disease. J Thorac Cardiovasc Surg 1996; 112: 415423.CrossRefGoogle ScholarPubMed
Hastreiter, AR, D’Cruz, IA, Cantez, T, Namin, EP, Licata, R. Right-sided aorta. I. Occurrence of right aortic arch in various types of congenital heart disease. II. Right aortic arch, right descending aorta, and associated anomalies. Br Heart J 1966; 28: 722739.CrossRefGoogle ScholarPubMed
Knight, L, Edwards, JE. Right aortic arch. Types and associated cardiac anomalies. Circulation 1974; 50: 10471051.CrossRefGoogle ScholarPubMed
Felson, B, Palayew, MJ. The two types of right aortic arch. Radiology 1963; 81: 745759.CrossRefGoogle ScholarPubMed
McElhinney, DB, Clark, BJ, Weinberg, PM, et al. Association of chromosome 22q11 deletion with isolated anomalies of aortic arch laterality and branching. J Am Coll Cardiol 2001; 37: 21142119.CrossRefGoogle Scholar
Kahkouee, S, Sadr, M, Pedarzadeh, E, et al. Anomalous left brachiocephalic vein: important vascular anomaly concomitant with congenital anomalies and heart diseases. Folia Morphol 2017; 76: 5157.CrossRefGoogle ScholarPubMed
Gupta, SK, Bamforth, SD, Anderson, RH. How frequent is the fifth arch artery? Cardiol Young 2015; 25: 628646.CrossRefGoogle ScholarPubMed
Solomon, BD, Pineda-Alvarez, DE, Raam, MS, et al. Analysis of component findings in 79 patients diagnosed with VACTERL association. Am J Med Genet A 2010; 152A: 22362244.CrossRefGoogle ScholarPubMed
Cunningham, BK, Hadley, DW, Hannoush, H, et al. Analysis of cardiac anomalies in VACTERL association. Birt Defects Res A Clin Mol Teratol 2013; 97: 792797.CrossRefGoogle ScholarPubMed
Kolesová, H, Roelink, H, Grim, M. Sonic hedgehog is required for the assembly and remodeling of branchial arch blood vessels. Dev Dyn Off Publ Am Assoc Anat 2008; 237: 19231934.Google ScholarPubMed