Treatment solution by Caredduet al.: Figure 1: Article Swipe

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Lucio Careddu , Guido Oppido , Magda Ialonardi , Gaetano Gargiulo ·

YOU? · · 2015 · Open Access · · DOI: https://doi.org/10.1093/icvts/ivv099

fashion; in these situations, the presence of an aberrant subclavian artery could be crucial [4].To the best of our knowledge only 16 cases of aortic valve atresia and IAA have been reported in the literature to date; only 3 of these cases had no direct connection to the ascending aorta and all had an aberrant right subclavian artery [5], thus proving that an aberrant subclavian artery receiving blood directly from the ductus arteriosus is indispensible for survival. CASE DESCRIPTIONA full-term female newborn of an uncomplicated pregnancy was transferred to our unit shortly after birth with a prenatal diagnosis of aortic valve atresia.Prostaglandin-E1 infusion was started promptly and echocardiography confirmed [S,D,S] aortic valve atresia, a large cono-ventricular VSD and a rather developed left ventricle; moreover it unexpectedly revealed type B interrupted (left) aortic arch and an aberrant right subclavian artery.Blood flow through the ascending aorta and aortic arch was clearly inverted as well as that through both carotid arteries.Angiography confirmed the diagnosis and showed blood flowing from the ductus to the descending aorta, to both subclavian (left and aberrant right subclavian artery) and vertebral arteries, and from the Circle of Willis to both carotid arteries downward to the ascending aorta and coronary arteries (Fig. 1A andB).In conclusion, coronary blood flow was assured by bilateral retrograde carotid artery flow in a sort of Circle of Willis dependent circulation, exclusively supplied by both vertebral arteries.Consequently we believe that the presence of an aberrant subclavian artery was necessary for survival.Moreover, if the presence of a large VSD led to a rather developed left ventricle, a hypoplastic ascending aorta and small carotid arteries would have made cannulation for cardiopulmonary bypass extremely challenging and unsafe.

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Type: letter
Language: en
Landing Page: https://doi.org/10.1093/icvts/ivv099
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DOI: https://doi.org/10.1093/icvts/ivv099

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Title: Treatment solution by Caredduet al.: Figure 1:

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Publication year: 2015

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Authors: Lucio Careddu, Guido Oppido, Magda Ialonardi, Gaetano Gargiulo

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Landing page: https://doi.org/10.1093/icvts/ivv099

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abstract_inverted_index.ascending	48, 142, 197, 262
abstract_inverted_index.bilateral	212
abstract_inverted_index.confirmed	108, 158
abstract_inverted_index.dependent	224
abstract_inverted_index.developed	120, 257
abstract_inverted_index.diagnosis	97, 160
abstract_inverted_index.extremely	275
abstract_inverted_index.full-term	79
abstract_inverted_index.knowledge	19
abstract_inverted_index.necessary	243
abstract_inverted_index.pregnancy	85
abstract_inverted_index.receiving	66
abstract_inverted_index.survival.	76
abstract_inverted_index.vertebral	182, 230
abstract_inverted_index.arteriosus	72
abstract_inverted_index.connection	45
abstract_inverted_index.descending	170
abstract_inverted_index.literature	34
abstract_inverted_index.retrograde	213
abstract_inverted_index.subclavian	9, 56, 64, 137, 174, 179, 240
abstract_inverted_index.ventricle,	259
abstract_inverted_index.ventricle;	122
abstract_inverted_index.cannulation	271
abstract_inverted_index.challenging	276
abstract_inverted_index.conclusion,	205
abstract_inverted_index.exclusively	226
abstract_inverted_index.hypoplastic	261
abstract_inverted_index.interrupted	129
abstract_inverted_index.situations,	3
abstract_inverted_index.transferred	87
abstract_inverted_index.DESCRIPTIONA	78
abstract_inverted_index.artery.Blood	138
abstract_inverted_index.circulation,	225
abstract_inverted_index.unexpectedly	125
abstract_inverted_index.indispensible	74
abstract_inverted_index.uncomplicated	84
abstract_inverted_index.cardiopulmonary	273
abstract_inverted_index.cono-ventricular	115
abstract_inverted_index.echocardiography	107
abstract_inverted_index.survival.Moreover,	245
abstract_inverted_index.arteries.Angiography	157
abstract_inverted_index.arteries.Consequently	231
abstract_inverted_index.atresia.Prostaglandin-E1	101
cited_by_percentile_year
countries_distinct_count	1
institutions_distinct_count	4
citation_normalized_percentile