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Ann Thorac Surg 2009;87:e8. doi:10.1016/j.athoracsur.2008.09.064
© 2009 The Society of Thoracic Surgeons

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Images in Cardiothoracic Surgery

Surgical Treatment of an Isolated Origin of the Right Subclavian Artery From the Pulmonary Artery

Christian Schreiber, MD, PhD*, Julie Cleuziou, MD, Andreas Eicken, MD, PhD, Rüdiger Lange, MD, PhD

Clinic of Cardiovascular Surgery and Department of Paediatric Cardiology and Congenital Heart Disease, German Heart Center Munich, Technical University, Munich, Germany

* Address correspondence to Dr Schreiber, German Heart Center Munich, Clinic of Cardiovascular Surgery at the Technical University, Germany, Lazarettstrasse 36, Munich, 80636, Germany (Email: schreiber{at}dhm.mhn.de).

A heart murmur and suspected persistent ductus arteriosus led to further investigation in an otherwise healthy 4-year-old child. Echocardiography revealed an anomalous vessel arising near the pulmonary trunk (Fig 1, arrow). An angiogram confirmed the rare anomaly (Fig 2); however, any additional structural anomalies of the heart and adjacent structures were ruled out. After median sternotomy, the aberrant artery was mobilized and was then anastomosed to the lateral aspect of the aorta. At discharge, there was no relevant arm pressure discrepancy.


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Fig 1.
 

Figure 2
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Fig 2.
 
The finding of an aberrant right subclavian artery should prompt further assessment for aortic arch or intracardiac anomalies [1, 2].


    References
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 References
 

  1. Ramaswamy P, Lytrivi ID, Thanjan MT, et al. Frequency of aberrant subclavian artery, arch laterality, and associated intracardiac anomalies detected by echocardiography Am J Cardiol 2008;101:677-682.[Medline]
  2. Freed K, Low VH. The aberrant subclavian artery AJR Am J Roentgenol 1997;168:481-484.[Free Full Text]




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Julie Cleuziou
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Related Collections
Right arrow Congenital - cyanotic


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