We use cookies to improve your experience. By continuing to browse this site, you accept our cookie policy.×
Skip main navigation
Aging Health
Bioelectronics in Medicine
Biomarkers in Medicine
Breast Cancer Management
CNS Oncology
Colorectal Cancer
Concussion
Epigenomics
Future Cardiology
Future Microbiology
Future Neurology
Future Oncology
Future Rare Diseases
Future Virology
Hepatic Oncology
HIV Therapy
Immunotherapy
International Journal of Endocrine Oncology
International Journal of Hematologic Oncology
Journal of 3D Printing in Medicine
Journal of Comparative Effectiveness Research
Lung Cancer Management
Melanoma Management
Nanomedicine
Neurodegenerative Disease Management
Pain Management
Pediatric Health
Personalized Medicine
Pharmacogenomics
Regenerative Medicine

Complete isolation of right subclavian artery supplied by the thoracic aorta and bilateral patent ductus arteriosus

    Abdolrahim Ghasemi

    Department of Pediatric Cardiology, Modarres Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran

    ,
    Ali Reza Serati

    Cardiovascular Research Center, Modarres Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran

    ,
    Sepideh Emami

    Cardiovascular Research Center, Modarres Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran

    &
    Mohammad Reza Movahed

    *Author for correspondence:

    E-mail Address: rmova@aol.com

    CareMore, Tucson, AZ 85710, USA

    Department of Medicine, University of Arizona College of Medicine, Tucson, AZ 85724, USA

    Published Online:https://doi.org/10.2217/fca-2016-0062

    Disconnection of the subclavian artery from the aortic arch, defined as isolation, is a rare aortic arch anomaly. In this anomaly, loss of continuity between one subclavian artery and the aorta with persistent connection to the homocollateral pulmonary artery through a patent or remnant ductus arteriosus is present. This isolation is almost always seen on the side contralateral to the aortic arch position. Complex cardiac and genetic anomalies are frequently associated with the isolation of a subclavian artery. We report a rare case of right subclavian artery originating from right pulmonary artery with bilateral patent ductus arteriosus in an otherwise normal infant.

    References

    • 1 Stewart JR, Kincaid OW, Edwards JE. Malformations with left aortic arch (group II). Isolation of the right subclavian artery from aorta. In: An Atlas of Vascular Rings and Related Malformations of the Aortic Arch System (1st Edition). Stewart JR, Charles C (Eds). Thomas Publisher Ltd., Springfield, IL, USA, 76–79 (1962).Google Scholar
    • 2 Weinberg PM. Aortic arch anomalies. In: Moss and Adams’ Heart Disease in Infants, Children and Adolescents: Including the Fetus and Young Adults. Allen HD, Driscoll DJ, Shaddy RE, Feltes TF (Eds). Lippincott Williams & Wilkins, PA, USA, 730–760 (2008).Google Scholar
    • 3 Jesudin V, Ravikumar R, Kumar RS. Isolation of the left subclavian artery origin of left pulmonary artery by way of ductus arteriosus: multidetector row computed tomographic angiographic imaging. Pediatr. Cardiol. 30(4), 549–550 (2009).Crossref, MedlineGoogle Scholar
    • 4 Goldbloom AA. The anomalous right subclavian artery and its possible clinical significance. Surg. Gynecol. Obstet. 34, 378–338 (1922).Google Scholar
    • 5 Barger JD, Creasman RW, Edwards JE. Bilateral ductus arteriosus associated with interruption of aortic arch. Am. J. Clin. Pathol. 24(4), 441–444 (1954).Crossref, Medline, CASGoogle Scholar
    • 6 Türkvatan A, Paç A, Kiziltepe U, Olçer T, Cumhur T. MDCT angiography of isolated right subclavian artery. Turk. J. Pediatr. 52(6), 668–672 (2010).MedlineGoogle Scholar
    • 7 Crystal MA, Rivenes SM, Ing FF. Unmasking of an isolated right subclavian artery from the pulmonary artery after device occlusion of a patent arterial duct. Cathter Cardiovasc. Interv. 82(4), 581–584 (2013).MedlineGoogle Scholar
    • 8 Nath PH, Castaneda-Zuniga W, Zollikofer C et al. Isolation of subclavian artery. Am. J. Roentgenol. 137(4), 683–688 (1981).Crossref, Medline, CASGoogle Scholar
    • 9 Keagy KS, Schall SA, Herrington RT. Selective cyanosis of left arm. Isolation of right subclavian artery from aorta with bilateral ductus arteriosus and pulmonary hypertension. Pediatr. Cardiol. 3(4), 301–303 (1982).Crossref, Medline, CASGoogle Scholar
    • 10 McElhinney DB, Hoydu AK, Chin AJ, Weinberg PM. Right-sided aortic arch with bilateral ductus: a rare case of nonconfluent pulmonary arteries without associated cardiac anomalies. J. Thorac. Cardiovasc. Surg. 119(4 Pt 1), 849–851 (2000).Crossref, Medline, CASGoogle Scholar
    • 11 Freedom RM, Moes CA, Pelech A et al. Bilateral ductus arteriosus (or remnant): an analysis of 27 patients. Am. J. Cardiol. 53(7), 884–891 (1984).Crossref, Medline, CASGoogle Scholar
    • 12 Kanamaru H, Karasawa K, Miyashita M et al. Successful multiple coils embolization for bilateral patent ductus arteriosus with isolated subclavian artery. Pediatr. Int. 48(5), 510–513 (2006).Crossref, MedlineGoogle Scholar
    • 13 Sen S, Mohanty S, Kulkarni S, Rao SG. Isolated subclavian artery: a rare entity revisited. World J. Pediatr. Congenit. Heart Surg. 7(6), 744–749 (2016).Crossref, MedlineGoogle Scholar
    • 14 Yubbu P, Latiff HA, Adam Abbaker AM. Right aortic arch with isolation of the left subclavian artery: a rare association with airway obstruction. Cardiol. Young. 27(3), 613–616 (2017).Crossref, MedlineGoogle Scholar