![]() The ductus arteriosus completes the vascular ring. In addition, we could confirm that, as proposed by previous reports, this anomaly is not accompanied with any congenital heart disease in contrast to the usual right aortic arch with mirror-image branching. Right aortic arch with mirror image branching of the aortic vessels. This article describes the features, clinical importance, and management of the same. These findings suggest that there might had not been any evident clinical symptoms in this case. The right aortic arch with mirror-image branching is a rare anomaly. A case of prenatally diagnosed right aortic arch and right ductal arch with mirror image branching is presented and the prenatal diagnosis and management of. Also, the upper part of the descending aorta where the ligamentum arteriosum is attached was slightly raised, but there was not enough swelling to be judged as the aortic diverticulum. However, we could not find a visible impression by the ligamentum arteriosun on the posterior wall of the esophagus. Diagnosis In a postnatally ascertained population, virtually all individuals with right aortic arch and mirror-image branching have an associated cardiac. Together with the right aortic arch, the upper part of the descending aorta, and pulmonary arteries, and the left ligamentum arteriosum formed a complete vascular ring surrounding the trachea and esophagus. The ligamentum arteriosum(22 mm in length 5 mm in diameter), which persisted on the left side, connected the left pulmonary artery to the upper part of the descending aorta, passing behind the esophagus. The descending aorta descended along the right side of the esophagus. The aortic arch was located on the right side, and the arrangement of the great vessels was the mirror image of the orientation seen with a normal left aortic arch. Incidentally detected right aortic arch with mirror image branching in a patient with rheumatic calcific mitral valve disease. 11.Nair KKM, Ganapathi S, Inamdar S, et al. Right aortic arch with mirror- image branching of the major arteries and right arch with isolation of the left sub- clavian artery are frequently associated. This report seems to be the first case of the anomaly which is observed by dissection of cadaver. An aneurysm of right-sided aortic arch with mirror-image brachiocephalic branch-ing. Most cases of right aortic arch with aberrant left subclavian artery (77/101, 76.2) were isolated lesions, whereas most of those with mirror-image branching (45/75, 60) were associated with intracardiac or extracardiac anomalies. This anomaly is so rare that there have been only 9 cases reported in the world literatures, and ll of them were noticed through several radiological methods in infants or children showing symptoms of tracheal and/or esophageal compression. We present a case of the right aortic arch with mirror image-branching and a left ligamentum arteriosum forming a vascular ring, which was found in a 59-year-old male Korean cadaver.
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