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Eur J Cardiothorac Surg 2001;19:726-728
© 2001 Elsevier Science NL

Case report

Left cervical aortic arch associated with pseudocoarctation and aortic and mitral regurgitation: one-stage surgical repair

^a Manchester Heart Centre, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL, UK
^b Department of Radiology, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL, UK

Received 28 September 2000; received in revised form 16 February 2001; accepted 28 February 2001.

Corresponding author. Specialist Registrar in Cardiology, Birch Hill Hospital, Rochdale OL12 9QB, UK. Tel: +44-1706-377777; fax: +44-1706-754693
e-mail: peter{at}meem.demon.co.uk

Cervical aortic arch is rare with a prevalence of less than 1/10 000 live births (Pediatr Cardiol 10 (1989) 205); but may occur with other cardiovascular congenital abnormalities. We report pseudocoarctation of a left-sided cervical aortic arch with an aberrant right subclavian artery and aortic and mitral regurgitation, corrected by an anterior mediastinal shunt from ascending to descending aorta and aortic and mitral valve replacements, as a one-stage procedure.

Key Words: Pseudocoarctation • Cervical arch • Aortic shunt