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Case Reports

Repair of Coarctation in Right Circumflex Retroesophageal Arch

^a Department of Pediatrics, Handong University Sunlin Hospital, Kyungsangbukdo South Korea
^b Department of Radiology, Handong University Sunlin Hospital, Kyungsangbukdo, South Korea
^c Department of Thoracic & Cardiovascular Surgery, Clinical Research Institute, Seoul National University, College of Medicine, Seoul National University Children's Hospital, Seoul, South Korea
^d Department of Pediatrics, Clinical Research Institute, Seoul National University, College of Medicine, Seoul National University Children's Hospital, Seoul, South Korea

Accepted for publication May 19, 2008.

^_* Address correspondence to Dr Kim, Department of Thoracic and Cardiovascular Surgery, Clinical Research Institute, Seoul National University, College of Medicine, Seoul National University Children's Hospital, 28 Yongon-Dong, Jongno-Gu, Seoul, 110-744, Korea (Email: woonghan{at}snu.ac.kr).

A right-sided circumflex retroesophageal aortic arch combined with a ventricular septal defect and severe coarctation is an extremely rare condition. Moreover, surgical correction is significant when performing an anatomical reconstruction of the left aortic arch by end-to-side and native tissue-to-tissue anastomosis instead of using a bypass graft. The authors describe an unusual case of a 1 month-old neonate with a ventricular septal defect and coarctation of a right-sided circumflex retroesophageal aortic arch who underwent successful surgical correction.