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[Cervical aortic arch associated with cardiopathy].

J M Sobrino Márquez1, I Gozalves, A Gómez

  • 1Servicio de Hemodinámica, Hospital Infantil, Hospital Universitario Virgen del Rocío, Sevilla.

Revista Espanola De Cardiologia
|October 1, 1992
PubMed
Summary

Cervical aortic arch is a rare anomaly found in infants with congenital heart defects like tetralogy of Fallot. Clinical presentation varies, and outcomes depend on associated cardiac malformations, not the arch anomaly itself.

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Area of Science:

  • Pediatric Cardiology
  • Congenital Heart Disease
  • Vascular Anomalies

Background:

  • Cervical aortic arch is a rare congenital anomaly where the aortic arch arises from the descending aorta and courses superiorly.
  • This anomaly is infrequently associated with complex congenital heart diseases.

Observation:

  • This study reports on five pediatric patients diagnosed with cervical aortic arch.
  • Associated cardiac conditions included tetralogy of Fallot (2), pulmonary atresia with interventricular septal defect (2), and pulmonary branch stenosis (1).
  • Diagnosis occurred between one day and three months of age, with some cases identified via angiography before clinical signs manifested.

Findings:

  • Two cases fit the Haughton classification, while three were unclassified.
  • The clinical status of the affected children was primarily determined by the severity of their co-existing heart malformations.

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  • The cervical aortic arch itself did not appear to be the primary driver of immediate clinical condition.

    • Implications:

    • Highlights the importance of comprehensive cardiac evaluation in infants with suspected or confirmed cervical aortic arch.
    • Suggests that management strategies should focus on the associated intracardiac defects.
    • Underscores the rarity and variable presentation of cervical aortic arch in pediatric populations.