Left Arm Underdevelopment Secondary to an Isolated Left Subclavian Artery in Tetralogy of Fallot

The anomalous origin of the left subclavian artery is known to be associated with right aortic arch and tetralogy of Fallot. In our case, the left subclavian artery arose from the left pulmonary artery. Therefore, the left arm was perfused by poorly oxygenated blood from pulmonary arteries and some...

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Veröffentlicht in:The Annals of thoracic surgery 2010-02, Vol.89 (2), p.637-639
Hauptverfasser: Carnero Alcázar, Manuel, MD, Marianeschi, Stefano, MD, Alonso, Enrique Ruiz, MD, Torres, Enrique García, MD, Comas, Juan V., MD, PhD
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container_end_page 639
container_issue 2
container_start_page 637
container_title The Annals of thoracic surgery
container_volume 89
creator Carnero Alcázar, Manuel, MD
Marianeschi, Stefano, MD
Alonso, Enrique Ruiz, MD
Torres, Enrique García, MD
Comas, Juan V., MD, PhD
description The anomalous origin of the left subclavian artery is known to be associated with right aortic arch and tetralogy of Fallot. In our case, the left subclavian artery arose from the left pulmonary artery. Therefore, the left arm was perfused by poorly oxygenated blood from pulmonary arteries and some retrograde vertebral artery flow. Thus, the left arm was cyanotic and less developed than the right one. The patient underwent surgical repair with complete correction of tetralogy of Fallot and reimplantation of the left subclavian artery to the left carotid artery.
doi_str_mv 10.1016/j.athoracsur.2009.07.057
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In our case, the left subclavian artery arose from the left pulmonary artery. Therefore, the left arm was perfused by poorly oxygenated blood from pulmonary arteries and some retrograde vertebral artery flow. Thus, the left arm was cyanotic and less developed than the right one. The patient underwent surgical repair with complete correction of tetralogy of Fallot and reimplantation of the left subclavian artery to the left carotid artery.</description><identifier>ISSN: 0003-4975</identifier><identifier>EISSN: 1552-6259</identifier><identifier>DOI: 10.1016/j.athoracsur.2009.07.057</identifier><identifier>PMID: 20103369</identifier><identifier>CODEN: ATHSAK</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Arm - blood supply ; Biological and medical sciences ; Cardiology. Vascular system ; Cardiothoracic Surgery ; Carotid Arteries - surgery ; DiGeorge Syndrome - diagnosis ; Ectromelia - diagnosis ; Ectromelia - genetics ; Ectromelia - surgery ; Follow-Up Studies ; Humans ; Infant ; Infant, Newborn ; Ischemia - diagnosis ; Ischemia - genetics ; Ischemia - surgery ; Magnetic Resonance Angiography ; Male ; Medical sciences ; Pneumology ; Pulmonary Artery - abnormalities ; Pulmonary Artery - surgery ; Subclavian Artery - abnormalities ; Surgery ; Tetralogy of Fallot - diagnosis ; Tetralogy of Fallot - genetics ; Tetralogy of Fallot - surgery</subject><ispartof>The Annals of thoracic surgery, 2010-02, Vol.89 (2), p.637-639</ispartof><rights>The Society of Thoracic Surgeons</rights><rights>2010 The Society of Thoracic Surgeons</rights><rights>2015 INIST-CNRS</rights><rights>2010 The Society of Thoracic Surgeons. Published by Elsevier Inc. 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subjects Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Arm - blood supply
Biological and medical sciences
Cardiology. Vascular system
Cardiothoracic Surgery
Carotid Arteries - surgery
DiGeorge Syndrome - diagnosis
Ectromelia - diagnosis
Ectromelia - genetics
Ectromelia - surgery
Follow-Up Studies
Humans
Infant
Infant, Newborn
Ischemia - diagnosis
Ischemia - genetics
Ischemia - surgery
Magnetic Resonance Angiography
Male
Medical sciences
Pneumology
Pulmonary Artery - abnormalities
Pulmonary Artery - surgery
Subclavian Artery - abnormalities
Surgery
Tetralogy of Fallot - diagnosis
Tetralogy of Fallot - genetics
Tetralogy of Fallot - surgery
title Left Arm Underdevelopment Secondary to an Isolated Left Subclavian Artery in Tetralogy of Fallot
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