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A Case of Right Sided Aortic Arch Combined with Atrial Septal Defect

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Right sided aortic arch is an uncommon congenital anomaly. It can be classified into three types, depending on the left aortic arch’s degenerating pattern and the branching pattern of the great vessels. It can be associated with major congenital heart disease, depending on the type of right sided aortic arch. We report a case of an 18-years-old female who has right sided aortic arch with atrial septal defect (ASD). In our case, the patient had a right sided aortic arch and aberrant left subclavian artery, also she had ASD (ostium secundum) and moderate tricuspid regurgitation with pulmonary hypertension. The patient was successfully performed patch closure of ASD and tricuspid valve annuloplasty via midline sternotomy. The patient had uneventful postoperative course.

Abstract

Right sided aortic arch is an uncommon congenital anomaly. It can be classified into three types, depending on the left aortic arch’s degenerating pattern and the branching pattern of the great vessels. It can be associated with major congenital heart disease, depending on the type of right sided aortic arch. We report a case of an 18-years-old female who has right sided aortic arch with atrial septal defect (ASD). In our case, the patient had a right sided aortic arch and aberrant left subclavian artery, also she had ASD (ostium secundum) and moderate tricuspid regurgitation with pulmonary hypertension. The patient was successfully performed patch closure of ASD and tricuspid valve annuloplasty via midline sternotomy. The patient had uneventful postoperative course.

참고문헌 (7)

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  2. Shuford WH, "The aortic arch and its malformations, In Right aortic arch", pp.52~68 (1974), Charles C. Thomas
  3. Stewart JR, "Right aortic arch: plain film diagnosis and significance", Am J Roentgenol, 97, pp.377~389 (1966)
  4. Ruckman RN, "Anomalies of the aortic arch complex, In Moss’heart disease in infants and adolescents, 5th ed" (1994), Williams & Wilkins
  5. Stewart JR, "An atlas of vascular rings and related malformations of the aortic arch system", pp.8~13 (1964), Charles C. Thomas
  6. Kaneda T, "A case of Stanford type B aortic dissection involving a right-sided aortic arch with mirror-image branching and right-sided discending aorta", Thorac Cardiovasc Surg, 49, pp.51~53 (2001)
  7. Allen SR, "The effect of a right-sided aortic arch on outcome in children with esophageal atresia and tracheoesophageal fistula", J Pediatr Surg, 41, pp.479~483 (2006)

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