Right aortic arch, right ligamentum, absent left pulmonary artery: a rare vascular ring Ali Dodge-Khatami, MD, Carl L Backer, MD, Michael E Dunham, MD,

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Presentation transcript:

Right aortic arch, right ligamentum, absent left pulmonary artery: a rare vascular ring Ali Dodge-Khatami, MD, Carl L Backer, MD, Michael E Dunham, MD, Constantine Mavroudis, MD The Annals of Thoracic Surgery Volume 67, Issue 5, Pages 1472-1474 (May 1999) DOI: 10.1016/S0003-4975(99)00189-7

Fig 1 Aortogram demonstrates a right aortic arch, mirror image branching of the brachiocephalic vessels, and a ductal “bump” that was consistent with the noted intraoperative right ligamentum arteriosum. The Annals of Thoracic Surgery 1999 67, 1472-1474DOI: (10.1016/S0003-4975(99)00189-7)

Fig 2 Contrast bronchogram with simultaneous levophase aortogram demonstrating a normal trachea and left main bronchus, with severe narrowing of the right mainstem bronchus at a site between the right descending aorta and right pulmonary artery. The Annals of Thoracic Surgery 1999 67, 1472-1474DOI: (10.1016/S0003-4975(99)00189-7)

Fig 3 Pulmonary angiogram illustrates a large right pulmonary artery, no left pulmonary artery, and no evidence for a pulmonary artery sling. The Annals of Thoracic Surgery 1999 67, 1472-1474DOI: (10.1016/S0003-4975(99)00189-7)