IMAGES IN CARDIOTHORACIC MEDICINE AND SURGERY |
Double Aortic Arch with Tetralogy of Fallot: a Rare Association
Yogendra Singh, DM
Interventional Cardiology, Himalayan Institute of Medical Sciences, Jolly Grant, Dehradun, India
Yogendra Singh, DM, Tel: +91 135 2471410, Fax: +91 135 2471344, Email: dyogi{at}doctor.com, Interventional Cardiology, Himalayan Institute of Medical Sciences, Jolly Grant, Dehradun–248140, India.
Tetralogy of Fallot with double aortic arch is exceptionally rare with a few reported cases mostly in the pediatric age group. A 27-year-old woman presented with cyanosis and exertional dyspnea, but no dysphagia or stridor. Echocardiography showed a large subaortic ventricular septal defect and overriding of the aorta with severe pulmonary stenosis. Cardiac catheterization and Angiography confirmed tetralogy of Fallot with infundibular and pulmonary valvular stenosis. Aortic root angiography showed a double aortic arch with a right-sided descending aorta; both arches were patent. The patient underwent successful repair.
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Figure 1. Aortic root angiograms in (A) anteroposterior, (B) right lateral, (C) LV Angiography in left anterior oblique, and (D) RV Angiography in left lateral view. LV = left ventricle, PV = pulmonary valve, RV = right ventricle, VSD = ventricular septal defect.
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Asian Cardiovasc Thorac Ann 2009;
17:433-434
© 2009 by SAGE Publications
DOI: 10.1177/0218492309341430
