Surgical Palliation of Right Aortic Arch With an Isolated Innominate Artery From the Left Ductus Arteriosus

A right aortic arch with an isolated left innominate artery from the left patent ductus arteriosus is a rare arch anomaly, and establishing continuity between the innominate artery and aorta can be challenging. We describe repair of this lesion in a three-week-old male using an autologous pedicle fl...

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Bibliographic Details
Published inWorld journal for pediatric & congenital heart surgery Vol. 9; no. 1; p. 98
Main Authors Schwartz, Matthew C, Pourmoghadam, Kamal, O'Brien, Michael, Fleishman, Craig E, DeCampli, William
Format Journal Article
LanguageEnglish
Published United States 01.01.2018
Subjects
Aorta, Thoracic - diagnostic imaging
Aorta, Thoracic - surgery
Brachiocephalic Trunk - diagnostic imaging
Brachiocephalic Trunk - surgery
CHARGE Syndrome - diagnostic imaging
CHARGE Syndrome - surgery
Ductus Arteriosus - diagnostic imaging
Ductus Arteriosus - surgery
Humans
Infant, Newborn
Male
Palliative Care
isolated innominate artery
patent ductus arteriosus
congenital heart surgery
right aortic arch
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Summary:A right aortic arch with an isolated left innominate artery from the left patent ductus arteriosus is a rare arch anomaly, and establishing continuity between the innominate artery and aorta can be challenging. We describe repair of this lesion in a three-week-old male using an autologous pedicle flap of ascending aorta as well as a homograft patch as the roof to recreate continuity between the aorta and left innominate artery.
ISSN:2150-136X
DOI:10.1177/2150135117737688