Incidentally detected right aortic arch with mirror image branching in a patient with rheumatic calcific mitral valve disease

An isolated right-sided aortic arch with no congenital heart disease is extremely rare. We report an adult woman with longstanding rheumatic heart disease causing severe calcific mitral stenosis, moderate mitral regurgitation and moderate pulmonary hypertension, for which she underwent mitral valve...

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Published inThe National medical journal of India Vol. 31; no. 1; pp. 22 - 23
Main Authors Nair, Krishna, Ganapathi, Sanjay, Inamdar, Sonali, Gopalakrishnan, Arun, Kapilamoorthy, Tirur, Valaparambil, Ajitkumar
Format Journal Article
LanguageEnglish
Published India All India Institute of Medical Sciences 01.01.2018
Medknow Publications and Media Pvt. Ltd
Scientific Scholar
Subjects
Aneurysms
Cardiovascular diseases
Catheters
Congenital diseases
Congenital heart defects
Genetic disorders
Heart diseases
Heart valve diseases
Hypertension
Mitral valve insufficiency
Mitral valve stenosis
Pulmonary hypertension
Rheumatic heart disease
Stenosis
Veins & arteries
Women
Illinois
India
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Summary:An isolated right-sided aortic arch with no congenital heart disease is extremely rare. We report an adult woman with longstanding rheumatic heart disease causing severe calcific mitral stenosis, moderate mitral regurgitation and moderate pulmonary hypertension, for which she underwent mitral valve replacement and tricuspid annuloplasty. On preoperative work-up, she was detected to have a right-sided aortic arch with mirror image branching along with a ductal dimple. However, there were no associated congenital cardiac defects.
ISSN:0970-258X
0970-258X
DOI:10.4103/0970-258X.243408