Document Detail

Left arm underdevelopment secondary to an isolated left subclavian artery in tetralogy of Fallot.
MedLine Citation:
PMID:  20103369     Owner:  NLM     Status:  MEDLINE    
The anomalous origin of the left subclavian artery is known to be associated with right aortic arch and tetralogy of Fallot. In our case, the left subclavian artery arose from the left pulmonary artery. Therefore, the left arm was perfused by poorly oxygenated blood from pulmonary arteries and some retrograde vertebral artery flow. Thus, the left arm was cyanotic and less developed than the right one. The patient underwent surgical repair with complete correction of tetralogy of Fallot and reimplantation of the left subclavian artery to the left carotid artery.
Manuel Carnero Alcázar; Stefano Marianeschi; Enrique Ruiz Alonso; Enrique García Torres; Juan V Comas
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  89     ISSN:  1552-6259     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-01-27     Completed Date:  2010-02-17     Revised Date:  2010-10-28    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  637-9     Citation Subset:  AIM; IM    
Copyright Information:
2010 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.
Pediatric Heart Institute, Hospital 12 de Octubre, Madrid, Spain.
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MeSH Terms
Arm / blood supply*
Carotid Arteries / surgery
DiGeorge Syndrome / diagnosis
Ectromelia / diagnosis,  genetics,  surgery*
Follow-Up Studies
Infant, Newborn
Ischemia / diagnosis,  genetics,  surgery*
Magnetic Resonance Angiography
Pulmonary Artery / abnormalities,  surgery
Subclavian Artery / abnormalities*
Tetralogy of Fallot / diagnosis,  genetics,  surgery*
Comment In:
Ann Thorac Surg. 2010 Nov;90(5):1744-5; author reply 1745   [PMID:  20971318 ]

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

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