Abstract
Thirty-one hearts with aortic arch obstruction and patent ductus arteriosus were examined with special reference to associated cardiac anomalies. Six presented with complete interruption of the aortic arch, four with atretic isthmus, twelve with coarctation, and three with tubular hypoplasia. Associated cardiac anomalies were divided into two main groups: (1) septal defect with left-to-right shunt, and (2) left ventricular inflow and/or outflow obstruction. A high incidence (9/19=47.4%) of ventriculo-infundibular malalignment type of ventricular septal defect with subaortic stenosis was observed. Associated cardiac lesions that reduce blood flow in the aortic arch during fetal life may be responsible for poor development of this structure.
Full text
PDF











Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- BECU L. M., TAUXE W. N., DUSHANE J. W., EDWARDS J. E. A complex of congenital cardiac anomalies: ventricular septal defect, biventricular origin of the pulmonary trunk, and subaortic stenosis. Am Heart J. 1955 Dec;50(6):901–911. doi: 10.1016/0002-8703(55)90275-1. [DOI] [PubMed] [Google Scholar]
- Becker A. E., Becker M. J., Edwards J. E. Anomalies associated with coarctation of aorta: particular reference to infancy. Circulation. 1970 Jun;41(6):1067–1075. doi: 10.1161/01.cir.41.6.1067. [DOI] [PubMed] [Google Scholar]
- CELORIA G. C., PATTON R. B. Congenital absence of the aortic arch. Am Heart J. 1959 Sep;58:407–413. doi: 10.1016/0002-8703(59)90157-7. [DOI] [PubMed] [Google Scholar]
- Dische M. R., Tsai M., Baltaxe H. A. Solitary interruption of the arch of the aorta. Clinicopathologic review of eight cases. Am J Cardiol. 1975 Feb;35(2):271–277. doi: 10.1016/0002-9149(75)90012-0. [DOI] [PubMed] [Google Scholar]
- Freedom R. M., Bain H. H., Esplugas E., Dische R., Rowe R. D. Ventricular septal defect in interruption of aortic arch. Am J Cardiol. 1977 Apr;39(4):572–582. doi: 10.1016/s0002-9149(77)80168-9. [DOI] [PubMed] [Google Scholar]
- Freedom R. M., Dische M. R., Rowe R. D. Conal anatomy in aortic atresia, ventricular septal defect, and normally developed left ventricle. Am Heart J. 1977 Dec;94(6):689–698. doi: 10.1016/s0002-8703(77)80208-1. [DOI] [PubMed] [Google Scholar]
- Ho S. Y., Anderson R. H. Coarctation, tubular hypoplasia, and the ductus arteriosus. Histological study of 35 specimens. Br Heart J. 1979 Mar;41(3):268–274. doi: 10.1136/hrt.41.3.268. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hutchins G. M. Coarctation of the aorta explained as a branch-point of the ductus arteriosus. Am J Pathol. 1971 May;63(2):203–214. [PMC free article] [PubMed] [Google Scholar]
- Moore G. W., Hutchins G. M. Association of interrupted aortic arch with malformations producing reduced blood flow to the fourth aortic arches. Am J Cardiol. 1978 Sep;42(3):467–472. doi: 10.1016/0002-9149(78)90942-6. [DOI] [PubMed] [Google Scholar]
- Morgan J. R., Forker A. D., Fosburg R. G., Neugebauer M. K., Rogers A. K., Bemiller C. R. Interruption of the aortic arch without a patent ductus arteriosus. Circulation. 1970 Nov;42(5):961–965. doi: 10.1161/01.cir.42.5.961. [DOI] [PubMed] [Google Scholar]
- Moulaert A. J., Bruins C. C., Oppenheimer-Dekker A. Anomalies of the aortic arch and ventricular septal defects. Circulation. 1976 Jun;53(6):1011–1015. doi: 10.1161/01.cir.53.6.1011. [DOI] [PubMed] [Google Scholar]
- Rosenquist G. C. Congenital mitral valve disease associated with coarctation of the aorta: a spectrum that includes parachute deformity of the mitral valve. Circulation. 1974 May;49(5):985–993. doi: 10.1161/01.cir.49.5.985. [DOI] [PubMed] [Google Scholar]
- Shinebourne E. A., Elseed A. M. Relation between fetal flow patterns, coarctation of the aorta, and pulmonary blood flow. Br Heart J. 1974 May;36(5):492–498. doi: 10.1136/hrt.36.5.492. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Van Praagh R., Bernhard W. F., Rosenthal A., Parisi L. F., Fyler D. C. Interrupted aortic arch: surgical treatment. Am J Cardiol. 1971 Feb;27(2):200–211. doi: 10.1016/0002-9149(71)90259-1. [DOI] [PubMed] [Google Scholar]






