Childhood presentation of interrupted aortic arch with persistent carotid ducts
Autor: | Robert H. Anderson, Jeffrey F. Smallhorn, Edythe B Tham, Michelle Noga, Amy-Leigh Johnson, Simon D. Bamforth, Somjate Suntratonpipat |
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Rok vydání: | 2015 |
Předmět: |
Aortic arch
Heart Defects Congenital Heart Septal Defects Ventricular Male medicine.medical_specialty Aorta Thoracic Intracardiac injection Aortic Coarctation Diagnosis Differential DiGeorge syndrome medicine.artery Internal medicine medicine Ventricular outflow tract Humans cardiovascular diseases Child business.industry Interrupted aortic arch General Medicine Anatomy medicine.disease Collateral circulation Hypoplasia Pediatrics Perinatology and Child Health cardiovascular system Cardiology Surgery Presentation (obstetrics) Cardiology and Cardiovascular Medicine business Tomography X-Ray Computed Magnetic Resonance Angiography |
Zdroj: | World journal for pediatriccongenital heart surgery. 6(2) |
ISSN: | 2150-136X |
Popis: | Interrupted aortic arch is a rare condition with typical presentation within the first few weeks of life, as the circulation is dependent upon patency of the arterial duct. Most cases are associated with intracardiac anomalies, the most common being a ventricular septal defect with some degree of hypoplasia and/or obstruction of the left ventricular outflow tract. Presentation beyond infancy is uncommon, and suggests the presence of well-developed collateral circulation. This case of childhood presentation of interrupted aortic arch and intact ventricular septum highlights the very unusual finding of bilateral collateral arteries consistent with persistent carotid ducts. Cardiac MRI angiography with three-dimensional reconstruction defined not only the site of interruption in the aortic arch but also the entire collateral circulation. |
Databáze: | OpenAIRE |
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