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OCULO-AURICULO-VERTEBRAL SPECTRUM ASSOCIATED WITH ABERRANT SUBCLAVIAN ARTERY IN AN INFANT WITH RECURRENT RESPIRATORY

Amanda Rosa Pereira1, Carlos Henrique Paiva Grangeiro1, Larissa Cerqueira Pereira1

  • 1Universidade Federal do Triângulo Mineiro, Uberaba, MG, Brazil.

Revista Paulista De Pediatria : Orgao Oficial Da Sociedade De Pediatria De Sao Paulo
|June 2, 2021
PubMed

Insights

Craniofacial microsomia can present with rare but severe complications like aberrant right subclavian artery causing respiratory distress. Early identification and surgical correction are crucial for infant outcomes.

Area of Science:

  • Pediatrics
  • Medical Genetics
  • Cardiology

Background:

  • Craniofacial microsomia (CFM) is a congenital condition with variable presentation.
  • Associated extracranial anomalies are common but can be overlooked.
  • Aberrant right subclavian artery (ARSA) is a rare vascular anomaly.

Observation:

  • A case report of an infant with right-sided CFM, facial dysmorphisms, and thoracic hemivertebrae.
  • The infant experienced recurrent respiratory distress, stridor, and feeding issues despite interventions.
  • Diagnostic investigation revealed esophageal and tracheal compression by an ARSA.

Findings:

  • Surgical correction of the aberrant right subclavian artery resolved the respiratory symptoms.
  • This highlights the importance of investigating vascular anomalies in CFM with respiratory complaints.
  • CFM encompasses a spectrum of anomalies, including rarer, life-threatening ones.

Implications:

  • Pediatricians should consider ARSA in infants with CFM and unexplained respiratory distress.
  • Prompt diagnosis and management of ARSA can prevent significant morbidity and mortality.
  • Multidisciplinary follow-up is essential for comprehensive rehabilitation in these complex cases.
Abstract

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