Open AccessDysphagia Lusoria with atrial septal defect: Simultaneous repair through midline
Author(s) -
Rithin Rathnakar,
Saket Agarwal,
Vishnu Datt,
Deepak Kumar Satsangi
Publication year - 2014
Publication title -
annals of pediatric cardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.292
H-Index - 19
eISSN - 0974-2069
pISSN - 0974-5149
DOI - 10.4103/0974-2069.126562
Subject(s) - medicine , descending aorta , median sternotomy , foramen secundum , septum secundum , brachiocephalic artery , cardiology , common carotid artery , aorta , subclavian artery , surgery , aortic arch , carotid arteries , patent foramen ovale , percutaneous
An aberrant right subclavian artery from the descending aorta is almost always reported as an isolated anomaly. We present the case of a four-year-old child with an anomalous origin of the right subclavian artery from the descending aorta, associated with an ostium secundum atrial septal defect. The patient underwent simultaneous repair of both the anomalies through median sternotomy, with implantation of the subclavian artery into the right common carotid artery. We believe that median sternotomy is the optimal surgical approach for the management of these lesions. Other operative approaches are also discussed.