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Coarctation of Right Aortic Arch with Left Descending Aorta in an Adult

Department of Cardiovascular Surgery, Okayama University Graduate School of Medicine, Dentistry & Pharmaceutical Sciences Okayama, Japan

Masanori Hirota, MD Tel: +81 86 235 7359 Fax: +81 86 235 7431 Email: mhirota{at}md.okayama-u.ac.jp, Department of Cardiovascular Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, 2-5-1 Shikata-cho, Okayama, 700-8558, Japan.

We report an adult case of right aortic arch coarctation with a left descending aorta. Associated anomalies included dextrocardia, situs inversus, polysplenia, bilateral superior vena cava, and absent inferior vena cava with azygos connection. Extensive mobilization of the azygos vein was needed to obtain a good surgical field, including the left descending aorta via a right thoracotomy, and the lesion was anatomically repaired by resection and end-to-end anastomosis.

Key Words: Aortic Coarctation • Cardiovascular Abnormalities • Dextrocardia

Asian Cardiovasc Thorac Ann 2009; 17:76-78
© 2009 by SAGE Publications
DOI: 10.1177/0218492309102523