Right-sided aortic arch with bilateral ductus: a rare case of nonconfluent pulmonary arteries without associated cardiac anomalies Doff B. McElhinney,

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Right-sided aortic arch with bilateral ductus: a rare case of nonconfluent pulmonary arteries without associated cardiac anomalies Doff B. McElhinney, MD, Alison K. Hoydu, MD, PhD, Alvin J. Chin, MD, Paul M. Weinberg, MD The Journal of Thoracic and Cardiovascular Surgery Volume 119, Issue 4, Pages 849-851 (April 2000) DOI: 10.1016/S0022-5223(00)70023-7 Copyright © 2000 American Association for Thoracic Surgery Terms and Conditions

Fig. 1 A, Schematic diagram of the primitive pharyngeal arch system, showing the left and right external (EC) and internal (IC) carotid arteries, 4th (IV) and 6th (VI) pharyngeal arches, right and left distal pulmonary arterial segments (PA), dorsal aortas (DA), and 7th intersegmental arteries (VII). The proximal (p) 6th arches develop into the proximal pulmonary arteries and the distal (d) 6th arches become the ductus arteriosus. The 7th intersegmental arteries develop into the subclavian arteries. B, Schematic depiction of the regression pattern of the pharyngeal arches that presumably results in the anatomy of our patient. The black sections represent arterial segments that regress. CCA, Common carotid artery; L, left; PDA, patent ductus arteriosus; R, right; SCA, subclavian artery. C, Diagram of the mature anatomy of the aortic arch, its branches, and the PAs in our patient. The Journal of Thoracic and Cardiovascular Surgery 2000 119, 849-851DOI: (10.1016/S0022-5223(00)70023-7) Copyright © 2000 American Association for Thoracic Surgery Terms and Conditions