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Revista Mexicana de Pediatría

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2011, Number 6

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Rev Mex Pediatr 2011; 78 (6)

Anomalous origin of right subclavian artery in aortic arch interruption type B

González RLA, Ramírez RC, Fajardo OF, Medécigo VMS, Ruiz BNP, Antillón VI, López CG
Full text How to cite this article

Language: Spanish
References: 6
Page: 247-251
PDF size: 157.10 Kb.


Key words:

Aberrant right subclavian artery, interruption of the aortic arch.

ABSTRACT

We present the first case of aberrant right subclavian artery in interruption of the aortic arch that was diagnosed in the Children Hospital of the Sonora State in a newborn male whom had symptoms of distress respiratory, cyanosis and precordial murmur. Physical exam suggested Di George syndrome phenotypic characteristic and in his hospital stay had persistent hypocalcemia. Diagnosis of the interruption of the aortic arch type B was made by Echocardiography 2D and the other vascular anomaly associated, by computed tomographic angiography that permitted for identifying anatomic features from aberrant origin of the right subclavian artery leaving from interrupted distal aortic segment. We recommended to make this study as a complement for evaluation of this patients when is not possible to detect by Echocardiography and other associated vascular anomalies as in this case.


REFERENCES

  1. Celoria GC, Patton RB. Congenital absence of the aortic arch. Am Heart J 1959; 58: 407-13.

  2. González RLA, López CG, Ruiz BNP. Anomalías obstructivas del arco aórtico. Bol Clin Hosp Infant Edo Son 2005; 22: 2-7.

  3. Türkvatan A, Büyükbayraktar FG, Olcer T, Cumhur T. Multidetector computed tomographic angiography of aberrant subclavian arteries. Vasc Med 2009; 14(1): 5-11.

  4. Del Nido PJ, Geva T. Interrupción del arco aórtico. En: Díaz Góngora G, Sandoval Reyes N, Vélez Moreno JF, Carrillo Angel G, editores. Cardiología Pediátrica. Colombia: McGraw-Hill; 2003: 332-43.

  5. Buendía HA. Interrupción del arco aórtico. En: Attie F, Zabal C, Buendía Hernández A, editores. Cardiología Pediátrica Diagnóstico y Tratamiento. Médica Panamericana 1993: 322-7.

  6. Powell CB, Stone FM, Atkins DL, Watson DG, Moller JH. Operative mortality and frequency of coexistent anomalies in interruption of the aortic arch. Am J Cardiol 1997; 79: 1147-8.




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Rev Mex Pediatr. 2011;78