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Left cervical aortic arch with proximal obstruction
Funda Oztunç1, Kadir Babaoĝlu, Halil Türkoglu
1Department of Pediatrics, Section of Pediatric Cardiology, Cerrahpaşa Faculty of Medicine, University of Istanbul, Istanbul, Turkey. foztunc@yahoo.com
Cardiology in the Young
|February 1, 2005
Summary
This study reports a rare left-sided cervical aortic arch with atypical obstruction, co-occurring with mitral valve disease and a bicuspid aortic valve. Surgical correction involved arch resection, anastomosis, and mitral valve repair.
Area of Science:
- Cardiovascular Surgery
- Congenital Heart Disease
- Vascular Anomalies
Background:
- Cervical aortic arch is a rare congenital anomaly.
- Associated cardiac lesions can complicate management.
- This case highlights a unique presentation of cervical aortic arch.
Observation:
- A patient presented with a left-sided cervical aortic arch.
- The patient also had mitral regurgitation, mitral stenosis, and a regurgitant bicuspid aortic valve.
- Atypical proximal obstruction was noted within the aortic arch.
Findings:
- Surgical resection of the obstructive arch segment was performed.
- An end-to-side anastomosis corrected the aortic arch.
- Mitral valvoplasty was successfully completed during the same procedure.
Implications:
- This case represents the first description of a cervical aortic arch with atypical obstruction.
- The association with multiple left heart lesions is novel.
- This finding expands the understanding of cervical aortic arch variations and management.