Korean J Thorac Cardiovasc Surg.  2018 Dec;51(6):403-405. 10.5090/kjtcs.2018.51.6.403.

Anomalous Origin of the Right Subclavian Artery in a Patient with D-transposition of the Great Arteries

Affiliations
  • 1Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Korea. amyjys@naver.com
  • 2Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Korea.

Abstract

This case report concerns a young patient with an extremely rare combination of d-transposition of the great arteries (d-TGA) and anomalous origin of the right subclavian artery. In our patient, the right subclavian artery originated from the pulmonary artery, which is why he did not show reversed differential cyanosis. We conclude that the presence of an aortic arch anomaly should be considered in patients with d-TGA who do not present with reversed differential cyanosis. A further imaging work-up, including computed tomography or magnetic resonance imaging, might be helpful.

Keyword

Anomalous origin of right subclavian artery; Transposition of the great arteries; Reversed differential cyanosis

MeSH Terms

Aorta, Thoracic
Arteries*
Cyanosis
Humans
Magnetic Resonance Imaging
Pulmonary Artery
Subclavian Artery*
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