eMedicine Specialties > Pediatrics: Cardiac Disease and Critical Care Medicine > Cardiology

Interrupted Aortic Arch: Multimedia

Author: Alvin J Chin, MD, Professor of Pediatrics, Division of Cardiology, The Children's Hospital of Philadelphia, University of Pennsylvania School of Medicine
Contributor Information and Disclosures

Updated: Oct 6, 2009

Multimedia

Sections A, B, and C show successive views during...
(Enlarge Image)
Media file 1: Sections A, B, and C show successive views during a suprasternal frontal ultrasonographic sweep of the superior mediastinum in a healthy patient. In a left aortic arch, the first brachiocephalic vessel (A) courses to the right (B) and bifurcates (C). Section D shows the left anterior oblique view of an aortogram in a patient with coarctation (thick arrow). Section E is the echocardiographic left oblique equivalent view of a normal aortic arch. Abbreviations are as follows: a = aorta, ao = aorta, ASC = ascending aorta, i = innominate vein, inn a = innominate artery, LC = left common carotid artery, LS = left subclavian artery, RCCA = right common carotid artery, RSCA = right subclavian artery, s = superior vena cava, v = vertebral artery.
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Sections A, B, and C show successive views during...

Sections A, B, and C show successive views during a suprasternal frontal ultrasonographic sweep of the superior mediastinum in a healthy patient. In a left aortic arch, the first brachiocephalic vessel (A) courses to the right (B) and bifurcates (C). Section D shows the left anterior oblique view of an aortogram in a patient with coarctation (thick arrow). Section E is the echocardiographic left oblique equivalent view of a normal aortic arch. Abbreviations are as follows: a = aorta, ao = aorta, ASC = ascending aorta, i = innominate vein, inn a = innominate artery, LC = left common carotid artery, LS = left subclavian artery, RCCA = right common carotid artery, RSCA = right subclavian artery, s = superior vena cava, v = vertebral artery.

Section A depicts a subcostal frontal echocardiog...
(Enlarge Image)
Media file 2: Section A depicts a subcostal frontal echocardiogram of interrupted aortic arch (IAA) type B with transposition of the great arteries. Section B shows a high parasternal echocardiogram showing that the innominate artery (Inn A) and left common carotid artery (LCCA) arise from the ascending aorta (a ao). In section C, the left subclavian artery (LSCA) arises from the descending aorta (desc ao), which is perfused by the ductus arteriosus.
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Section A depicts a subcostal frontal echocardiog...

Section A depicts a subcostal frontal echocardiogram of interrupted aortic arch (IAA) type B with transposition of the great arteries. Section B shows a high parasternal echocardiogram showing that the innominate artery (Inn A) and left common carotid artery (LCCA) arise from the ascending aorta (a ao). In section C, the left subclavian artery (LSCA) arises from the descending aorta (desc ao), which is perfused by the ductus arteriosus.

This is the suprasternal sagittal ultrasonographi...
(Enlarge Image)
Media file 3: This is the suprasternal sagittal ultrasonographic view of the patient shown in Media file 2. Arch continuity has now been restored by a side-to-side anastomosis. Abbreviations are as follows: a ao = ascending aorta and desc ao = descending aorta.
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This is the suprasternal sagittal ultrasonographi...

This is the suprasternal sagittal ultrasonographic view of the patient shown in Media file 2. Arch continuity has now been restored by a side-to-side anastomosis. Abbreviations are as follows: a ao = ascending aorta and desc ao = descending aorta.

More on Interrupted Aortic Arch

Overview: Interrupted Aortic Arch
Differential Diagnoses & Workup: Interrupted Aortic Arch
Treatment & Medication: Interrupted Aortic Arch
Follow-up: Interrupted Aortic Arch
Multimedia: Interrupted Aortic Arch
References
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References

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Further Reading

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Keywords

interrupted aortic arch, IAA, IAA type A, IAA type B, IAA type C, interrupted left aortic arch, nonrestrictive ventricular septal defect, ductus arteriosus, large aortopulmonary window, truncus arteriosus, CHARGE syndrome, coloboma, heart disease, atresia choanae, retarded growth and development, CNS anomalies, genital hypoplasia, deafness, ear anomalies, DiGeorge syndrome, aortic valve, subaortic stenosis, treatment, diagnosis

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Contributor Information and Disclosures

Author

Alvin J Chin, MD, Professor of Pediatrics, Division of Cardiology, The Children's Hospital of Philadelphia, University of Pennsylvania School of Medicine
Alvin J Chin, MD is a member of the following medical societies: American Association for the Advancement of Science and American Heart Association
Disclosure: Nothing to disclose.

Medical Editor

Charles I Berul, MD, Professor of Pediatrics, George Washington University School of Medicine; Chief, Division of Cardiology, Children's National Medical Center
Charles I Berul, MD is a member of the following medical societies: American Academy of Pediatrics, American College of Cardiology, American Heart Association, Cardiac Electrophysiology Society, Heart Rhythm Society, Pediatric and Congential Electrophysiology Society, and Society for Pediatric Research
Disclosure: Nothing to disclose.

Pharmacy Editor

Mary L Windle, PharmD, Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy, Pharmacy Editor, eMedicine
Disclosure: Pfizer Inc Stock Investment from financial planner; Avanir Pharma Stock Investment from financial planner ; WebMD Salary and stock Employment and investment from financial planner

Managing Editor

Ameeta Martin, MD, Clinical Associate Professor, Department of Pediatric Cardiology, University of Nebraska College of Medicine
Ameeta Martin, MD is a member of the following medical societies: American College of Cardiology
Disclosure: Nothing to disclose.

CME Editor

Gilbert Z Herzberg, MD, Assistant Professor, Department of Pediatrics, Section of Pediatric Cardiology, New York Medical College; Consulting Staff, Department of Pediatrics, Sound Shore Medical Center
Gilbert Z Herzberg, MD is a member of the following medical societies: American Academy of Pediatrics
Disclosure: Nothing to disclose.

Chief Editor

Steven R Neish, MD, SM, Director of Pediatric Cardiology Fellowship Program, Associate Professor, Department of Pediatrics, Baylor College of Medicine
Steven R Neish, MD, SM is a member of the following medical societies: American Academy of Pediatrics, American College of Cardiology, and American Heart Association
Disclosure: Nothing to disclose.

 
 
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