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Ann Thorac Surg 2001;72:611-613
© 2001 The Society of Thoracic Surgeons

Case report

Repair of coarctation in a right-sided circumflex retroesophageal aortic arch

Timothy W. Pettitt, MDa, Joseph Caspi, MDa, Satinder K. Sandhu, MDb, Kenneth J. Ward, MDc, R. Lester Hixon, MDc

a Division of Cardiothoracic Surgery, Louisiana State University, New Orleans, Louisiana, USA
b Division of Pediatric Cardiology, Louisiana State University, New Orleans, Louisiana, USA
c Department of Radiology, Children’s Hospital, New Orleans, Louisiana, USA

Accepted for publication August 17, 2000.

Address reprint requests to Dr Pettitt, Division of Cardiothoracic Surgery, Children’s Hospital, 200 Henry Clay Ave, New Orleans, LA 70118
e-mail: twpettitt{at}aol.com

We describe an unusual case of a 3-month-old infant with normal cardiac situs and coarctation of the aorta occurring proximal to the right subclavian artery in the presence of a right-sided retroesophageal circumflex aortic arch and aberrant left subclavian artery. Preoperative evaluation with magnetic resonance imaging and conventional aortography led us to surgically approach this lesion through a right thoracotomy with a successful outcome.




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