Presentation is loading. Please wait.

Presentation is loading. Please wait.

Coarctation of the aorta with right aortic arch and isolation of the left innominate artery: A surgical challenge in a patient without collateral posterior.

Published byPhyllis Hamilton Modified over 6 years ago

Similar presentations

Presentation on theme: "Coarctation of the aorta with right aortic arch and isolation of the left innominate artery: A surgical challenge in a patient without collateral posterior."— Presentation transcript:

1 Coarctation of the aorta with right aortic arch and isolation of the left innominate artery: A surgical challenge in a patient without collateral posterior brain circulation  C. Delgado, MD, PhD, F. Barturen, MD, PhD  The Journal of Thoracic and Cardiovascular Surgery  Volume 116, Issue 4, Pages (October 1998) DOI: /S (98) Copyright © 1998 Mosby, Inc. Terms and Conditions

2 Fig. 1 Left, Aortic arch angiogram in right anterior oblique position. The film demonstrates a right-sided aortic arch with 3 vessels arising from the arch in the following order: right common carotid (straight arrow), right vertebral (arrowhead), and right subclavian (doubled arrowhead) arteries. Delayed retrograde opacification of the left vertebral (open arrow), left common carotid (small arrows), and left subclavian (double arrow) isolated arteries were observed on the same film. Underdevelopment of the right and left thoracic arteries can also be seen (>>). Catheter tip is in ascending aorta. Right, Diagram showing the development of type AD right aortic arch: A, The hypothetical double arch of Edwards.5 B, Interruption of the left arch in zones A and D. C, Transformation of the left arch into an isolated left innominate artery (arrow). AA, Ascending aorta; DA, descending aorta; LCCA, left common carotid artery; RCCA, right common carotid artery; Ida, left ductus arteriosus; LSA, left subclavian artery; RSA, right subclavian artery; RVA, right vertebral artery. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /S (98) ) Copyright © 1998 Mosby, Inc. Terms and Conditions

3 Fig. 1 Left, Aortic arch angiogram in right anterior oblique position. The film demonstrates a right-sided aortic arch with 3 vessels arising from the arch in the following order: right common carotid (straight arrow), right vertebral (arrowhead), and right subclavian (doubled arrowhead) arteries. Delayed retrograde opacification of the left vertebral (open arrow), left common carotid (small arrows), and left subclavian (double arrow) isolated arteries were observed on the same film. Underdevelopment of the right and left thoracic arteries can also be seen (>>). Catheter tip is in ascending aorta. Right, Diagram showing the development of type AD right aortic arch: A, The hypothetical double arch of Edwards.5 B, Interruption of the left arch in zones A and D. C, Transformation of the left arch into an isolated left innominate artery (arrow). AA, Ascending aorta; DA, descending aorta; LCCA, left common carotid artery; RCCA, right common carotid artery; Ida, left ductus arteriosus; LSA, left subclavian artery; RSA, right subclavian artery; RVA, right vertebral artery. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /S (98) ) Copyright © 1998 Mosby, Inc. Terms and Conditions

4 Fig 2 Sequential posteroanterior angiograms with catheter tip in proximal right vertebral artery (a, b, c, and d). The films demonstrate retrograde opacification of left vertebral artery across the vertebrobasilar junction and by muscular collateral vessels in the neck. The absence of a posterior communicating artery can also be suspected. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /S (98) ) Copyright © 1998 Mosby, Inc. Terms and Conditions

Download ppt "Coarctation of the aorta with right aortic arch and isolation of the left innominate artery: A surgical challenge in a patient without collateral posterior."

Similar presentations

Kommerell diverticulum, right-sided aorta, and left aberrant subclavian artery in a patient with dysphagia  Jenn-Yu Wu, MD, Hsin-Yi Chen, MD, Chin-Chung.

Kommerell diverticulum, right-sided aorta, and left aberrant subclavian artery in a patient with dysphagia  Jenn-Yu Wu, MD, Hsin-Yi Chen, MD, Chin-Chung.
One-stage hybrid procedure for aberrant right subclavian artery and thoracic aneurysm  Shinya Takahashi, MD, PhD, Keijiro Katayama, MD, PhD, Taiichi Takasaki,

One-stage hybrid procedure for aberrant right subclavian artery and thoracic aneurysm  Shinya Takahashi, MD, PhD, Keijiro Katayama, MD, PhD, Taiichi Takasaki,
Raghuveer Vallabhaneni, MD, Jeffrey Jim, MD, Colin P

Raghuveer Vallabhaneni, MD, Jeffrey Jim, MD, Colin P
Aortic Coarctation Repair: How I Teach It

Aortic Coarctation Repair: How I Teach It
Coronary artery bypass grafting with the descending branch of thelateral femoral circumflex artery used as an arterial conduit: Is arteriographicevaluation.

Coronary artery bypass grafting with the descending branch of thelateral femoral circumflex artery used as an arterial conduit: Is arteriographicevaluation.
Treatment strategies for left subclavian artery during total arch replacement combined with stented elephant trunk implantation  Zhenghua Xiao, MD, Wei.

Treatment strategies for left subclavian artery during total arch replacement combined with stented elephant trunk implantation  Zhenghua Xiao, MD, Wei.
Henry J. Tannous, MD, Achintya N. Moulick, MD, Richard A. Jonas, MD 

Henry J. Tannous, MD, Achintya N. Moulick, MD, Richard A. Jonas, MD 
Repair of Coarctation in Right Circumflex Retroesophageal Arch

Repair of Coarctation in Right Circumflex Retroesophageal Arch
Traumatic rupture of the aortic isthmus in a patient with an aberrant right subclavian artery: Therapeutic implications  Marek Bednarkiewicz, MDa, John.

Traumatic rupture of the aortic isthmus in a patient with an aberrant right subclavian artery: Therapeutic implications  Marek Bednarkiewicz, MDa, John.
A surgically treated arteriovenous fistula between the vertebral artery and internal jugular vein after insertion of a central venous catheter for mitral.

A surgically treated arteriovenous fistula between the vertebral artery and internal jugular vein after insertion of a central venous catheter for mitral.
Surgical treatment for Kommerell’s diverticulum

Surgical treatment for Kommerell’s diverticulum
Ruptured mediastinal bronchial artery aneurysm: A dilemma of diagnosis and therapeutic approach  Afksendiyos Kalangos, MD, PhD, Gregory Khatchatourian,

Ruptured mediastinal bronchial artery aneurysm: A dilemma of diagnosis and therapeutic approach  Afksendiyos Kalangos, MD, PhD, Gregory Khatchatourian,
Zhang Jinzhou, MD, Wang Wen, MD, Zhu Hailong, MD, Wang Hongbing, MD 

Zhang Jinzhou, MD, Wang Wen, MD, Zhu Hailong, MD, Wang Hongbing, MD 
Kommerell’s diverticulum and aneurysmal right-sided aortic arch: A case report and review of the literature  Claudio S. Cinà, MD, FRCSC, Goffredo O. Arena,

Kommerell’s diverticulum and aneurysmal right-sided aortic arch: A case report and review of the literature  Claudio S. Cinà, MD, FRCSC, Goffredo O. Arena,
Survival after aberrant right subclavian artery–esophageal fistula: Case report and literature review  Ronna G. Miller, MD, Daniel K. Robie, MD, Susan.

Survival after aberrant right subclavian artery–esophageal fistula: Case report and literature review  Ronna G. Miller, MD, Daniel K. Robie, MD, Susan.
John A. Elefteriades, MD, Bulat A. Ziganshin, MD 

John A. Elefteriades, MD, Bulat A. Ziganshin, MD 
Utility of left subclavian artery revascularization in association with endoluminal repair of acute and chronic thoracic aortic pathology  Brian G. Peterson,

Utility of left subclavian artery revascularization in association with endoluminal repair of acute and chronic thoracic aortic pathology  Brian G. Peterson,
Single-stage repair of aortopulmonary window with interrupted aortic arch by transection of the aorta and direct reconstruction  Masahiro Yoshida, MD,

Single-stage repair of aortopulmonary window with interrupted aortic arch by transection of the aorta and direct reconstruction  Masahiro Yoshida, MD,
Iki Adachi, MD, Rajesh Krishnamurthy, MD, David L.S. Morales, MD 

Iki Adachi, MD, Rajesh Krishnamurthy, MD, David L.S. Morales, MD 
Right aortic arch and an aberrant left subclavian artery arising from a Kommerell diverticulum complicated by acute aortic dissection  Joon Bum Kim, MD,

Right aortic arch and an aberrant left subclavian artery arising from a Kommerell diverticulum complicated by acute aortic dissection  Joon Bum Kim, MD,

Similar presentations

Ads by Google