Document Detail


Frequency of aberrant subclavian artery, arch laterality, and associated intracardiac anomalies detected by echocardiography.
MedLine Citation:
PMID:  18308020     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Tetralogy of Fallot is generally considered to be the most common congenital heart defect associated with an aberrant subclavian artery (ASA), but the prevalence of ASA in patients with other cardiac anomalies is not well described. The pediatric echocardiography database, with 15,871 initial echocardiograms, was searched for all patients with ASA. Arch laterality and associated intracardiac anomalies were documented for each patient. ASA was found in 226 patients, of whom 171 had a left aortic arch (LAA) and 55 had a right aortic arch (RAA). The occurrence of ASA was 1% in patients with LAA (171 of 15,650) and 25% in patients with RAA (55 of 221; p = 0.001). Intracardiac anatomy was normal in 32% of patients with ASA/LAA and 25% with ASA/RAA. Conotruncal anomalies occurred more frequently with ASA/RAA than ASA/LAA (36% vs 18%; p = 0.01). Atrioventricular canal defects accounted for 10% and left-sided cardiac obstructive lesions accounted for 11% of subjects with ASA/LAA. ASA was rarely associated with d-transposition of the great arteries (1 of 226) and double-outlet right ventricle (5 of 226). The prevalence of ASA was highest in patients with interrupted aortic arch (11 of 38; 29%). In patients with tetralogy of Fallot, the overall prevalence of ASA was 8% (34 of 447), but was higher with RAA (16 of 103; 16%). The highest prevalence of ASA occurred in the subgroup of patients with tetralogy of Fallot with pulmonary atresia and RAA (6 of 25; 24%). In conclusion, ASA was more common in patients with RAA, especially with conotruncal anomalies. In patients with LAA, hypoplastic left heart syndrome, aortic coarctation, and atrioventricular canal defects were commonly associated with ASA.
Authors:
Prema Ramaswamy; Irene D Lytrivi; Maria T Thanjan; Thieu Nguyen; Shubhika Srivastava; Sangeeta Sharma; H Helen Ko; Ira A Parness; Wyman W Lai
Publication Detail:
Type:  Journal Article     Date:  2007-12-21
Journal Detail:
Title:  The American journal of cardiology     Volume:  101     ISSN:  0002-9149     ISO Abbreviation:  Am. J. Cardiol.     Publication Date:  2008 Mar 
Date Detail:
Created Date:  2008-02-29     Completed Date:  2008-04-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0207277     Medline TA:  Am J Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  677-82     Citation Subset:  AIM; IM    
Affiliation:
Division of Pediatric Cardiology, Maimonides Medical Center, Brooklyn, NY, USA. pramaswamy@maimonidesmed.org
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MeSH Terms
Descriptor/Qualifier:
Aorta, Thoracic / abnormalities*,  ultrasonography*
Child
Heart Defects, Congenital / epidemiology
Humans
Prevalence
Retrospective Studies
Subclavian Artery / abnormalities*,  ultrasonography*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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