Aortic atresia with complex aortic arch collateralization through the subclavian arteries
A term newborn boy was diagnosed with aortic atresia and ventricular septal defect with duplicated subclavian arteries bilaterally. Computed tomography angiography demonstrated highly unusual aortic arch vasculature. A diminutive aortic arch and complex head vessel anatomy precluded standard surgica...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2024-11-01
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| Series: | Annals of Pediatric Cardiology |
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| Online Access: | https://journals.lww.com/10.4103/apc.apc_179_24 |
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| author | Saumya Kapoor Thomas Knapp Peace Madueme Katherine T. Braley Peter D. Wearden Jennifer S. Nelson |
| author_facet | Saumya Kapoor Thomas Knapp Peace Madueme Katherine T. Braley Peter D. Wearden Jennifer S. Nelson |
| author_sort | Saumya Kapoor |
| collection | DOAJ |
| description | A term newborn boy was diagnosed with aortic atresia and ventricular septal defect with duplicated subclavian arteries bilaterally. Computed tomography angiography demonstrated highly unusual aortic arch vasculature. A diminutive aortic arch and complex head vessel anatomy precluded standard surgical palliation with a Damus–Kaye–Stansel, arch reconstruction, and systemic to pulmonary artery shunt. Instead, the patient underwent placement of bilateral pulmonary artery bands and stenting of the patent arterial duct (PDA). At 2 months of age, the patient underwent PDA stent dilation. At 4 months of age, he underwent balloon angioplasty of pulmonary artery bands with transverse aortic stenting. At the most recent follow-up at 15 months of age, there was no significant growth of the aortic arch, and the patient was mildly hypertensive but otherwise hemodynamically stable. He is currently being evaluated for heart transplantation due to his complex vascular anatomy. |
| format | Article |
| id | doaj-art-1eb3535148174946affb5b30bd4591d2 |
| institution | Kabale University |
| issn | 0974-2069 0974-5149 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Annals of Pediatric Cardiology |
| spelling | doaj-art-1eb3535148174946affb5b30bd4591d22025-08-20T03:48:46ZengWolters Kluwer Medknow PublicationsAnnals of Pediatric Cardiology0974-20690974-51492024-11-0117644144310.4103/apc.apc_179_24Aortic atresia with complex aortic arch collateralization through the subclavian arteriesSaumya KapoorThomas KnappPeace MaduemeKatherine T. BraleyPeter D. WeardenJennifer S. NelsonA term newborn boy was diagnosed with aortic atresia and ventricular septal defect with duplicated subclavian arteries bilaterally. Computed tomography angiography demonstrated highly unusual aortic arch vasculature. A diminutive aortic arch and complex head vessel anatomy precluded standard surgical palliation with a Damus–Kaye–Stansel, arch reconstruction, and systemic to pulmonary artery shunt. Instead, the patient underwent placement of bilateral pulmonary artery bands and stenting of the patent arterial duct (PDA). At 2 months of age, the patient underwent PDA stent dilation. At 4 months of age, he underwent balloon angioplasty of pulmonary artery bands with transverse aortic stenting. At the most recent follow-up at 15 months of age, there was no significant growth of the aortic arch, and the patient was mildly hypertensive but otherwise hemodynamically stable. He is currently being evaluated for heart transplantation due to his complex vascular anatomy.https://journals.lww.com/10.4103/apc.apc_179_24aortic valve atresiacomplex congenital heart diseaseinterventional palliation |
| spellingShingle | Saumya Kapoor Thomas Knapp Peace Madueme Katherine T. Braley Peter D. Wearden Jennifer S. Nelson Aortic atresia with complex aortic arch collateralization through the subclavian arteries Annals of Pediatric Cardiology aortic valve atresia complex congenital heart disease interventional palliation |
| title | Aortic atresia with complex aortic arch collateralization through the subclavian arteries |
| title_full | Aortic atresia with complex aortic arch collateralization through the subclavian arteries |
| title_fullStr | Aortic atresia with complex aortic arch collateralization through the subclavian arteries |
| title_full_unstemmed | Aortic atresia with complex aortic arch collateralization through the subclavian arteries |
| title_short | Aortic atresia with complex aortic arch collateralization through the subclavian arteries |
| title_sort | aortic atresia with complex aortic arch collateralization through the subclavian arteries |
| topic | aortic valve atresia complex congenital heart disease interventional palliation |
| url | https://journals.lww.com/10.4103/apc.apc_179_24 |
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