Diagnosis of anomalous origin of the right subclavian artery from the right pulmonary artery in a patient with D‐transposition of the great arteries utilizing transthoracic echocardiography

Diagnosis of anomalous origin of the right subclavian artery (AORSA) from the right pulmonary artery (RPA) is usually made using CT, MRI, or invasive angiography. We report a patient diagnosed using transthoracic echocardiography (TTE). A newborn girl prenatally known to have d‐TGA presented with cy...

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Veröffentlicht in:Echocardiography (Mount Kisco, N.Y.) N.Y.), 2020-12, Vol.37 (12), p.2144-2147
Hauptverfasser: Makadia, Luv D., Nielsen, James C., Kumar, Thittamaranahalli Kumar Susheel, Bhatla, Puneet
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container_issue 12
container_start_page 2144
container_title Echocardiography (Mount Kisco, N.Y.)
container_volume 37
creator Makadia, Luv D.
Nielsen, James C.
Kumar, Thittamaranahalli Kumar Susheel
Bhatla, Puneet
description Diagnosis of anomalous origin of the right subclavian artery (AORSA) from the right pulmonary artery (RPA) is usually made using CT, MRI, or invasive angiography. We report a patient diagnosed using transthoracic echocardiography (TTE). A newborn girl prenatally known to have d‐TGA presented with cyanosis sparing the right hemithorax and arm. Oxygen saturations on the right hand were persistently higher than on the right ear and other extremities. Repeat TTE using a modified echocardiographic imaging plane allowed for full visualization of the entire subclavian artery course, revealing AORSA from RPA. We discuss further the approach to echocardiographic diagnosis and surgical implications.
doi_str_mv 10.1111/echo.14901
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subjects aortic arch
cardiac surgery
cardiology
congenital heart disease
d‐transposition of great arteries
pediatric echocardiography
title Diagnosis of anomalous origin of the right subclavian artery from the right pulmonary artery in a patient with D‐transposition of the great arteries utilizing transthoracic echocardiography
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