Table of Contents    
Case Report
 
Case of pre and post-subclavian coarctation of aorta associated with aberrant right subclavian artery and symptomatic aneurysm of the distal aortic arch
Shivananda Siddappa1, Vikram Patra2, Srujal N Shah2, Madathipat Unnikrishnan3
1Adhoc consultant, Dept of CVTS, Sree Chitra Institute for Medical Sciences and Technology, Trivandrum, Kerala India.
2Senior Resident, Dept of CVTS, Sree Chitra Institute for Medical Sciences and Technology, Trivandrum, Kerala India.
3Senior Professor, Dept of CVTS, Sree Chitra Institute for Medical Sciences and Technology, Trivandrum, Kerala India

doi:10.5348/ijcri-2011-11-69-CR-7

Address correspondence to:
Shivananda Siddappa
Adhoc consultant, Dept of CVTS
Sree Chitra Institute for Medical Sciences and Technology
Trivandrum Kerala
India - 695035
Phone: 91-9995851796
Fax: 91-471-2446433
Email: shivananda.s@gmail.com

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How to cite this article:
Siddappa S, Patra V, Shah SN, Unnikrishnan M. Case of pre and post-subclavian coarctation of aorta associated with aberrant right subclavian artery and symptomatic aneurysm of the distal aortic arch. International Journal of Case Reports and Images 2011;2(11):25-27.


Abstract
Introduction: We report a complex case of pre and post-subclavian coarctation of aorta associated with aberrant right subclavian artery and symptomatic aneurysm of the distal aortic arch.
Case Report: Although CT scan of the chest had clinched the diagnosis, aortic anatomy was further elucidated on digital subtraction angiography when coronary angiogram was performed for cardiac risk stratification. Patient underwent repair of aneurysm and coarctation concurrently under profound hypothermia and total circulatory arrest. Post-op recovery was uneventful.
Conclusion: Judicious use of total circulatory arrest along with tailored surgical strategy provided optimal operating conditions leading to excellent recovery.

Key Words: Coarctation of aorta, Aberrant right subclavian artery, Distal arch aneurysm, Total circulatory arrest

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Author Contributions:
Shivananda Siddappa - Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Final approval of the version to be published
Vikram Patra - Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published
Srujal N Shah - Conception and design, Drafting the article, Final approval of the version to be published
Madathipat Unnikrishnan - Conception and design, Critical revision of the article, Final approval of the version to be published
Guarantor of submission:
The corresponding author is the guarantor of submission.
Source of support:
None
Conflict of interest:
Authors declare no conflict of interest.
Copyright:
© Shivananda Siddappa et. al. 2011; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.)