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Ann Thorac Surg 2007;84:1014-1016
© 2007 The Society of Thoracic Surgeons

Case Reports

Hypoplastic Circumflex Retroesophageal Right-Sided Cervical Aortic Arch With Unusual Vascular Arrangement and Severe Coarctation

Gurpal S. Ahluwalia, MRCSa, Abbas G. Rashid, MRCSa, Massimo Griselli, MD, FRCSa, Michal Szczeklik, MSa, Michael L. Rigby, MD, FRCPb, Raad H. Mohiaddin, PhD, FRCRc, Daryl F. Shore, FRCSa,*

a Department of Cardiac Surgery, Royal Brompton Hospital, London, United Kingdom
b Department of Cardiology, Royal Brompton Hospital, London, United Kingdom
c Cardiovascular Magnetic Resonance Unit, Royal Brompton Hospital, London, United Kingdom

Accepted for publication April 18, 2007.

* Address correspondence to Dr Shore, Department of Cardiac Surgery, Royal Brompton Hospital, Sydney St, London, SW36NP, United Kingdom (Email: d.shore{at}rbh.nthames.nhs.uk).

We report the case of a 12-year-old boy with a hypoplastic retroesophageal circumflex right-sided cervical aortic arch and coarctation. After the incidental finding of a heart murmur when the boy was 9 years old, cardiac magnetic resonance showed a right-sided cervical aortic arch, hypoplastic transverse arch, and separate origin of the left common carotid, right common carotid, right vertebral, and right subclavian arteries. The left subclavian artery arose from the proximal descending aorta next to the coarctation. An extra-anatomical ascending to descending aorta tube graft was inserted through a right lateral thoracotomy with good results.




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J. Song, W.-H. Kim, H. Kim, J. Koh, J. G. Kwak, K. B. Kim, and E. J. Bae
Repair of Coarctation in Right Circumflex Retroesophageal Arch
Ann. Thorac. Surg., January 1, 2009; 87(1): 307 - 309.
[Abstract] [Full Text] [PDF]


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