Summary
The case of a 2-year-old boy with tetralogy of Fallot and a complete double aortic arch (both arches patent) is reported. The left dominant aortic arch ran retroesophageally to the right and joined with the right smaller arch to form the descending thoracic aorta on the right side. We employed a right thoracotomy and performed a division of the right nondominant arch at the connection with the descending aorta. The surgical implications of an unusual type of double aortic arch are discussed.
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References
Arciniegas E, Hakimi M, Hertzler JH, Farooki ZQ, Green EW (1979) Surgical management of congenital vascular rings.J Thorac Cardiovasc Surg 77:721–727
Bahnson HE, Blalock A (1950) Aortic vascular rings encountered in surgical treatment of congenital pulmonic stenosis.Ann Surg 131:356–362
Binet JP, Langlois J (1977) Aortic arch anomalies in children and infants.J Thorac Cardiovasc Surg 73:248–252
Blumenthal S, Ravitch MM (1957) Seminar on aortic vascular rings and other anomalies of the aortic arch.Pediatrics 20:896
Ergin MA, Jayaram N, LaCorte M (1981) Left aortic arch and right descending aorta: diagnostic and therapeutic implications of a rare type of vascular ring.Ann Thorac Surg 31:82–85
Griswold HE Jr, Young MD (1949) Double aortic arch: report of two cases and review of the literature.Pediatrics 4:751–768
Gross RE (1945) Surgical relief for tracheal obstruction from a vascular ring.N Engl J Med 233:586–590
Jones CH, Walker JK (1955) Double aortic arch with a report of a case.J Fac Radiol 6:281
Kawashima Y, Kitamura S, Nakano S, Yagihara T (1981) Corrective surgery for tetralogy of Fallot without or with minimal right ventriculotomy and with repair of the pulmonary valve.Circulation [Suppl II]64:II147-II153
Keith JD, Rowe RD, Vlad P (1978)Heart disease in infancy and childhood. Macmillan, New York, p 861
McFaul R, Millard P, Nowicki E (1981) Vascular rings necessitating right thoracotomy.J Thorac Cardiovasc Surg 82:306–309
Roesler M, De Leval M, Chrispin A, Stark J (1983) Surgical management of vascular ring.Ann Surg 197:139–146
Schneeweiss A, Blieden L, Shem-Tov A, Deutsch V, Neufeld HN (1984) Retroesophageal right aortic arch.Pediatr Cardiol 5:191–196A0946030 00013 CS-SPJRNPDF [HEADSUP]
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Kadoba, K., Kawashima, Y., Matsuda, H. et al. A rare case of double aortic arch: Right thoracotomy and residual retroesophageal aortic arch. Pediatr Cardiol 8, 143–146 (1987). https://doi.org/10.1007/BF02079473
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DOI: https://doi.org/10.1007/BF02079473