A right aortic arch with an isolated left innominate artery from the left patent ductus arteriosus is a rare arch anomaly, and establishing continuity between the innominate artery and aorta can be challenging. We describe repair of this lesion in a three-week-old male using an autologous pedicle flap of ascending aorta as well as a homograft patch as the roof to recreate continuity between the aorta and left innominate artery.
BorenELJrMatchettWJGagnePJMcFarlandDR. Isolation of the left innominate artery in an elderly patient without congenital heart disease. Cardiovasc Intervent Radiol. 2000;23(1):63–65.
2.
FongLVVenablesAW. Isolation of the left common carotid or left innominate artery. Br Heart J. 1987;57(6):552–554.
3.
JonesJCMartinEGrieppRB. Surgical correction of isolated left innominate artery with right aortic arch. J Thorac Cardiovasc Surg. 1979;77(6):852–855.
4.
Le BretELeobonBRoubertieF. Right aortic arch and isolated left innominate artery from a left sided patent ductus arteriosus: a very rare aortic arch anomaly. J Pediatr Surg. 2009;44(4):E29–E31.
5.
JosephACoreJBecerraJLKaushalRD. Right-sided aorta with complete isolation of the left innominate artery. Radiol Case Rep. 2016;11(1):21–24.
6.
KreegerJSchlosserBSalleeDBorderWDeshpandeS. Isolated innominate artery from the main pulmonary artery in DiGeorge syndrome. J Am Coll Cardiol. 2011;57(6):753.
7.
SinghBSatyapalKSMoodleyJRajaruthnamP. Right aortic arch with isolated left brachiocephalic artery. Clin Anat. 2001;14(1):47–51.
8.
DukeCChanKC. Isolated innominate artery in 22q11 microdeletion. Pediatr Cardiol. 2001;22(1):80–82.
9.
HarringtonDPBrennanTVargheseJP. Right aortic arch with isolation of the left innominate artery. Cardiovasc Intervent Radiol. 1981;4(1):24–26.
10.
EdwardsJE. Anomalies of the derivatives of the aortic arch system. Med Clin North Am. 1948;32:925–949.
