One-stage repair of aberrant left brachiocephalic artery and coarctation of the aorta in right aortic arch

Fabrizio Gandolfo, Sonia B. Albanese, Aurelio D M Secinaro, Adriano Carotti

Research output: Contribution to journalArticle

Abstract

The combination of right aortic arch with aberrant left brachiocephalic artery and aortic coarctation is very rare. Here, we report the case of a 3.1-kg neonate with multiple malformations who received detailed preoperative anatomical definition by chest computed tomography (CT) scan and eventually underwent one-stage repair at the age of 17 days. The surgical technique included left brachiocephalic artery detachment and its end-to-end anastomosis to the branch of a monofurcated pulmonary homograft used to treat the aortic arch coarctation simultaneously. Postoperative control chest CT scan performed 3 months postoperatively revealed optimal repair. Considerations on imaging and surgical technique are reported.

Original languageEnglish
Pages (from-to)444-446
Number of pages3
JournalInteractive Cardiovascular and Thoracic Surgery
Volume17
Issue number2
DOIs
Publication statusPublished - Aug 2013

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Keywords

  • Aberrant left brachiocephalic artery
  • Right aortic arch
  • Vascular ring

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Pulmonary and Respiratory Medicine
  • Surgery

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