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Updated: Mar 19, 2026

Visualization and Analysis of Pharyngeal Arch Arteries using Whole-mount Immunohistochemistry and 3D Reconstruction
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Complex Cervical Aortic Arch With Hypoplasia: A Simple Solution to a Complex Problem.

Bijoy G Rajbanshi1, Navin C Gautam1, Sidhartha Pradhan1

  • 1Department of Cardiovascular Surgery, Shahid Gangalal National Heart Center, Kathmandu, Nepal.

The Annals of Thoracic Surgery
|June 26, 2016
PubMed
Summary
This summary is machine-generated.

A rare congenital heart defect involving a right-sided cervical aortic arch was successfully treated in a 6-year-old boy. Surgical intervention, including an aortic bypass and ductus ligament division, resolved the complex vascular anomaly with positive outcomes.

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Area of Science:

  • Cardiology
  • Pediatric Surgery
  • Congenital Heart Disease

Background:

  • Complex congenital heart anomalies require precise surgical planning.
  • Cervical aortic arch is a rare condition with varied presentations.
  • Vascular rings can lead to significant cardiopulmonary compromise.

Observation:

  • A 6-year-old boy presented with a rare complex right-sided cervical aortic arch.
  • The anomaly included a retroesophageal hypoplastic transverse arch and a left subclavian artery arising from Kommerell diverticulum.
  • A vascular ring was formed by the ductus ligament.

Findings:

  • Surgical repair involved an extraanatomic ascending-to-descending aorta bypass via median sternotomy.
  • Division of the ductus ligament was performed as part of the intervention.
  • The procedure was completed without complications, yielding good results.

Implications:

  • This case highlights successful surgical management of a rare cervical aortic arch variant.
  • Effective treatment of complex vascular rings can prevent long-term morbidity.
  • The described surgical approach offers a viable option for similar complex aortic arch anomalies.