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Ann Thorac Surg 1992;53:501-503
© 1992 The Society of Thoracic Surgeons


Articles

Isolation of the right subclavian artery

Eugène Baudet, MD*, Xavier F. Roques, MD, Jean-Philippe Guibaud, MD, Nadine Laborde, MD, Alain Choussat, MD

Department of Cardiovascular and Pediatric Cardiac Surgery and Department of Pediatric Cardiology, Haut-Leveque Heart Hospital, Bordeaux-Pessac, France

Accepted for publication August 5, 1991.

* Address reprint requests to Dr Baudet, Department of Cardiovascular and Pediatric Cardiac Surgery, Haut-Leveque Heart Hospital, 33604 Bordeaux-Pessac, France.


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 Abstract
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Loss of continuity between subclavian artery and aorta with persistent connection to the homolateral pulmonary artery through a ductus arteriosus is an uncommon malformation, involving generally the left subclavian artery and associated with intracardiac or aortic arch anomalies. We report a case of right subclavian isolation with a left-sided aortic arch, presenting as a single anomaly and surgically corrected by aortic reimplantation.


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  1. Stewart JR, Kincaid OW, Edwards JE. Malformations with left aortic arch (group II). "Isolation" of the right subclavian artery from aorta1st ed. An atlas of vascular rings and related malformations of the aortic arch system. Springfield, IL: Charles C. Thomas; 1964. pp. 75-79.
  2. Plauth Jr WH, Nugent EW, Schlant RC, et al. Congenital heart diseasesIn: Hurst JW, editor. The heart, arteries and veins. 5th ed. New York: McGraw-Hill; 1982. pp. 671.
  3. Edwards JE. Anomalies of the aortic arch system Birth Defects 1977;13(30):47-63.[Medline]
  4. Barger JD, Creasman RW, Edwards JE. Bilateral ductus arteriosus associated with interruption of the aortic arch Am J Clm Pathol 1954;54:441-444.
  5. Nath PH, Casteneda-Zuniga W, Zollikofer C, et al. Isolation of a subclavian artery AJR 1981;137:683-688.[Medline]
  6. Brill CB, Peyster RG, Keller MS, Galtman L. Isolation of the right subclavian artery with subclavian steal in a child with Klippel Feil anomaly: an example of the subclavian artery supply disruption sequence Am J Med Genet 1987;26:933-940.[Medline]
  7. Mathieson JR, Silver SF, Culham JAG. Isolation of the right subclavian artery AJR 1988;151:781-782.[Medline]
  8. Victorica BE, Van Microp LHS, Elliott LP. Right aortic arch associated with contralateral congenital subclavian steal syndrome AJR 1970;108:582-590.
  9. Lansing AM, Murphy J. Origin of the left subclavian artery from the pulmonary artery with congenital subclavian steal. Surgical implications in cyanotic patients Ann Thorac Surg 1968;5:145-152.



This article has been cited by other articles:


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M. Takeda, A. Furuse, and S. Takamoto
Systemic-to-pulmonary shunt in a patient with isolation of the subclavian artery
Ann. Thorac. Surg., March 1, 2000; 69(3): 940 - 942.
[Abstract] [Full Text] [PDF]


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Ann. Thorac. Surg.Home page
A. V. Mulay and K. G. Watterson
Isolated Right Subclavian Artery, Interrupted Aortic Arch, and Ventricular Septal Defect
Ann. Thorac. Surg., April 1, 1997; 63(4): 1163 - 1165.
[Abstract] [Full Text]


This Article
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Right arrow Articles by Choussat, A.