Right aortic arch with an aberrant left subclavian artery and aortic coarctation including a descending aortic aneurysm

J Cardiothorac Surg. 2019 Apr 2;14(1):65. doi: 10.1186/s13019-019-0878-y.

Abstract

Backround: The right aortic arch and aortic coarctation are rare congenital anomalies with the incidence of 0.1% and 0.03-0.04%. We present a case report of a 51-year-old woman with the right aortic arch with aberrant left subclavian artery and coarctation of the aorta with post-stenotic aneurysm.

Case presentation: Resection of the coarctation and aneurysm with replacement by tubular prosthesis was performed on partial cardiopulmonary bypass via femoral vessels.

Conclusion: Partial cardiopulmonary bypass is an applicable method for ensuring the perfusion of the distal part of the body and an aberrant left subclavian artery is not a contraindication of this technique.

Keywords: Aortic coarctation; Partial cardiopulmonary bypass; Right aortic arch.

Publication types

  • Case Reports

MeSH terms

  • Aorta, Thoracic / abnormalities
  • Aorta, Thoracic / diagnostic imaging
  • Aorta, Thoracic / surgery*
  • Aortic Aneurysm / diagnostic imaging
  • Aortic Aneurysm / surgery*
  • Aortic Coarctation / diagnostic imaging
  • Aortic Coarctation / surgery*
  • Blood Vessel Prosthesis Implantation
  • Cardiopulmonary Bypass
  • Cardiovascular Abnormalities / diagnostic imaging
  • Cardiovascular Abnormalities / surgery*
  • Female
  • Humans
  • Middle Aged
  • Subclavian Artery / abnormalities*
  • Subclavian Artery / diagnostic imaging
  • Subclavian Artery / surgery
  • Tomography, X-Ray Computed

Supplementary concepts

  • Aberrant subclavian artery