High incidence of progressive stenosis in aberrant left subclavian artery with right aortic arch

Mamoru Muraoka, Hazumu Nagata, Yuichiro Hirata, Kiyoshi Uike, Eiko Terashi, Eiji Morihana, Masayuki Ochiai, Yasuyuki Fujita, Kiyoko Kato, Kenichiro Yamamura, Shoichi Ohga

研究成果: ジャーナルへの寄稿記事

1 引用 (Scopus)

抄録

Right aortic arch with aberrant left subclavian artery (RAA/aLSCA) is a rare aortic arch anomaly. The clinical association of aLSCA stenosis with RAA/aLSCA has not yet been fully elucidated. The aim of this study was to investigate the diagnosis, incidence, management and outcome of aLSCA stenosis in infants with prenatally diagnosed RAA/aLSCA. Ten fetuses who were diagnosed as having RAA/aLSCA in Kyushu University Hospital between January 2011 and December 2014 were enrolled. The maternal and child medical records were reviewed to investigate sex, gestational age at the fetal diagnosis, gestational age and body weight at birth, the findings of computed tomography (CT), Doppler ultrasonography of the vertebral artery and angiography, and the complications and outcomes of aLSCA stenosis. In 8 of 10 patients, aLSCA stenosis was identified on the first CT examination after birth. No patients had dysphagia or respiratory distress. The stenosis spontaneously resolved in 3 patients. In 4 of the 5 remaining patients, aLSCA stenosis progressed, including one case in which complete occlusion occurred—the case was associated with retrograde flow from the left vertebral artery supplying the distal LSCA. Balloon angioplasty was successfully used to treat stenosis in two cases. The subclavian steal phenomenon and developmental problems were not observed in any patients. aLSCA stenosis was identified in 80% of patients with RAA/aLSCA after birth. The early detection and elective treatment of stenotic lesions may be required to prevent complete occlusion during the development of the cardiovascular and cerebrovascular systems.

元の言語英語
ページ(範囲)309-315
ページ数7
ジャーナルHeart and Vessels
33
発行部数3
DOI
出版物ステータス出版済み - 3 1 2018

Fingerprint

Thoracic Aorta
Pathologic Constriction
Incidence
Vertebral Artery
Parturition
Gestational Age
Tomography
Subclavian Steal Syndrome
Doppler Ultrasonography
Balloon Angioplasty
Aberrant subclavian artery
Patient Rights
Deglutition Disorders
Cardiovascular System
Medical Records
Angiography
Fetus
Body Weight
Mothers

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine

これを引用

High incidence of progressive stenosis in aberrant left subclavian artery with right aortic arch. / Muraoka, Mamoru; Nagata, Hazumu; Hirata, Yuichiro; Uike, Kiyoshi; Terashi, Eiko; Morihana, Eiji; Ochiai, Masayuki; Fujita, Yasuyuki; Kato, Kiyoko; Yamamura, Kenichiro; Ohga, Shoichi.

:: Heart and Vessels, 巻 33, 番号 3, 01.03.2018, p. 309-315.

研究成果: ジャーナルへの寄稿記事

Muraoka, Mamoru ; Nagata, Hazumu ; Hirata, Yuichiro ; Uike, Kiyoshi ; Terashi, Eiko ; Morihana, Eiji ; Ochiai, Masayuki ; Fujita, Yasuyuki ; Kato, Kiyoko ; Yamamura, Kenichiro ; Ohga, Shoichi. / High incidence of progressive stenosis in aberrant left subclavian artery with right aortic arch. :: Heart and Vessels. 2018 ; 巻 33, 番号 3. pp. 309-315.
@article{d26ebac3f2e146dab27e820be4bde16c,
title = "High incidence of progressive stenosis in aberrant left subclavian artery with right aortic arch",
abstract = "Right aortic arch with aberrant left subclavian artery (RAA/aLSCA) is a rare aortic arch anomaly. The clinical association of aLSCA stenosis with RAA/aLSCA has not yet been fully elucidated. The aim of this study was to investigate the diagnosis, incidence, management and outcome of aLSCA stenosis in infants with prenatally diagnosed RAA/aLSCA. Ten fetuses who were diagnosed as having RAA/aLSCA in Kyushu University Hospital between January 2011 and December 2014 were enrolled. The maternal and child medical records were reviewed to investigate sex, gestational age at the fetal diagnosis, gestational age and body weight at birth, the findings of computed tomography (CT), Doppler ultrasonography of the vertebral artery and angiography, and the complications and outcomes of aLSCA stenosis. In 8 of 10 patients, aLSCA stenosis was identified on the first CT examination after birth. No patients had dysphagia or respiratory distress. The stenosis spontaneously resolved in 3 patients. In 4 of the 5 remaining patients, aLSCA stenosis progressed, including one case in which complete occlusion occurred—the case was associated with retrograde flow from the left vertebral artery supplying the distal LSCA. Balloon angioplasty was successfully used to treat stenosis in two cases. The subclavian steal phenomenon and developmental problems were not observed in any patients. aLSCA stenosis was identified in 80{\%} of patients with RAA/aLSCA after birth. The early detection and elective treatment of stenotic lesions may be required to prevent complete occlusion during the development of the cardiovascular and cerebrovascular systems.",
author = "Mamoru Muraoka and Hazumu Nagata and Yuichiro Hirata and Kiyoshi Uike and Eiko Terashi and Eiji Morihana and Masayuki Ochiai and Yasuyuki Fujita and Kiyoko Kato and Kenichiro Yamamura and Shoichi Ohga",
year = "2018",
month = "3",
day = "1",
doi = "10.1007/s00380-017-1056-6",
language = "English",
volume = "33",
pages = "309--315",
journal = "Heart and Vessels",
issn = "0910-8327",
publisher = "Springer Japan",
number = "3",

}

TY - JOUR

T1 - High incidence of progressive stenosis in aberrant left subclavian artery with right aortic arch

AU - Muraoka, Mamoru

AU - Nagata, Hazumu

AU - Hirata, Yuichiro

AU - Uike, Kiyoshi

AU - Terashi, Eiko

AU - Morihana, Eiji

AU - Ochiai, Masayuki

AU - Fujita, Yasuyuki

AU - Kato, Kiyoko

AU - Yamamura, Kenichiro

AU - Ohga, Shoichi

PY - 2018/3/1

Y1 - 2018/3/1

N2 - Right aortic arch with aberrant left subclavian artery (RAA/aLSCA) is a rare aortic arch anomaly. The clinical association of aLSCA stenosis with RAA/aLSCA has not yet been fully elucidated. The aim of this study was to investigate the diagnosis, incidence, management and outcome of aLSCA stenosis in infants with prenatally diagnosed RAA/aLSCA. Ten fetuses who were diagnosed as having RAA/aLSCA in Kyushu University Hospital between January 2011 and December 2014 were enrolled. The maternal and child medical records were reviewed to investigate sex, gestational age at the fetal diagnosis, gestational age and body weight at birth, the findings of computed tomography (CT), Doppler ultrasonography of the vertebral artery and angiography, and the complications and outcomes of aLSCA stenosis. In 8 of 10 patients, aLSCA stenosis was identified on the first CT examination after birth. No patients had dysphagia or respiratory distress. The stenosis spontaneously resolved in 3 patients. In 4 of the 5 remaining patients, aLSCA stenosis progressed, including one case in which complete occlusion occurred—the case was associated with retrograde flow from the left vertebral artery supplying the distal LSCA. Balloon angioplasty was successfully used to treat stenosis in two cases. The subclavian steal phenomenon and developmental problems were not observed in any patients. aLSCA stenosis was identified in 80% of patients with RAA/aLSCA after birth. The early detection and elective treatment of stenotic lesions may be required to prevent complete occlusion during the development of the cardiovascular and cerebrovascular systems.

AB - Right aortic arch with aberrant left subclavian artery (RAA/aLSCA) is a rare aortic arch anomaly. The clinical association of aLSCA stenosis with RAA/aLSCA has not yet been fully elucidated. The aim of this study was to investigate the diagnosis, incidence, management and outcome of aLSCA stenosis in infants with prenatally diagnosed RAA/aLSCA. Ten fetuses who were diagnosed as having RAA/aLSCA in Kyushu University Hospital between January 2011 and December 2014 were enrolled. The maternal and child medical records were reviewed to investigate sex, gestational age at the fetal diagnosis, gestational age and body weight at birth, the findings of computed tomography (CT), Doppler ultrasonography of the vertebral artery and angiography, and the complications and outcomes of aLSCA stenosis. In 8 of 10 patients, aLSCA stenosis was identified on the first CT examination after birth. No patients had dysphagia or respiratory distress. The stenosis spontaneously resolved in 3 patients. In 4 of the 5 remaining patients, aLSCA stenosis progressed, including one case in which complete occlusion occurred—the case was associated with retrograde flow from the left vertebral artery supplying the distal LSCA. Balloon angioplasty was successfully used to treat stenosis in two cases. The subclavian steal phenomenon and developmental problems were not observed in any patients. aLSCA stenosis was identified in 80% of patients with RAA/aLSCA after birth. The early detection and elective treatment of stenotic lesions may be required to prevent complete occlusion during the development of the cardiovascular and cerebrovascular systems.

UR - http://www.scopus.com/inward/record.url?scp=85030168385&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85030168385&partnerID=8YFLogxK

U2 - 10.1007/s00380-017-1056-6

DO - 10.1007/s00380-017-1056-6

M3 - Article

C2 - 28965152

AN - SCOPUS:85030168385

VL - 33

SP - 309

EP - 315

JO - Heart and Vessels

JF - Heart and Vessels

SN - 0910-8327

IS - 3

ER -