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Chirurgia 2007 December;20(6):313-6

Copyright © 2007 EDIZIONI MINERVA MEDICA

language: English

Cervical aortic arch: case report of successful, two-stage surgical treatment

Skalski J. H. 1, Haponiuk I. 1, Szkutnik M. 2, Pyplacz D. 1, Zembala M. 3

1 Department of Paediatric Cardiac Surgery Silesian Centre for Heart Disease, Zabrze, Poland 2 Department of Congenital Heart Defects and Pediatric Cardiology Silesian Centre for Heart Disease, Zabrze, Poland 3 Department of Cardiac Surgery and Transplantology Silesian Center for Heart Disease, Zabrze, Poland


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We report a successful, two-stage surgical treatment of a cervical, right-sided aortic arch, with a constriction and kinking at the apex of the arch. This uncommon morphology resulted in selective arterial hypertension in the distribution of the carotid arteries because of their origin from the aorta proximal to the constriction. The arch gave rise to the right subclavian artery just proximal to the narrowing of the aorta; and the descending aorta, to the left subclavian artery. During the first stage of treatment of the neonate, an artificial bypass graft was inserted between the ascending and the descending aorta. Six years later, the definitive surgical solution of the problem was successfully implemented through the use of a PTFE patch widening the constricted and kinked segment of the aortic arch.

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