Korean Journal of Thoracic and Cardiovascular Surgery 2018; 51(6): 403-405  https://doi.org/10.5090/kjtcs.2018.51.6.403
Anomalous Origin of the Right Subclavian Artery in a Patient with D-transposition of the Great Arteries
Hyojung Park, M.D.1, Jinyoung Song, M.D., Ph.D.1, June Huh, M.D., Ph.D.1, I-Seok Kang, M.D.1, Tae-Gook Jun, M.D., Ph.D.2, and Ji-Hyuk Yang, M.D., Ph.D.2
Departments of 1Pediatrics and 2Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine
Corresponding author: Jinyoung Song, Department of Pediatrics, Samsung Medical Center, Heart Vascular Stroke Institute, Grown-up Congenital Heart Clinic, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, Seoul 06351, Korea
(Tel) 82-2-3410-3539 (Fax) 82-2-3410-0043 (E-mail) amyjys@naver.com
Received: May 24, 2018; Revised: August 23, 2018; Accepted: August 27, 2018.; Published online: December 5, 2018.
© The Korean Journal of Thoracic and Cardiovascular Surgery. All rights reserved.

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Abstract
This case report concerns a young patient with an extremely rare combination of d-transposition of the great arteries (d-TGA) and anomalous origin of the right subclavian artery. In our patient, the right subclavian artery originated from the pulmonary artery, which is why he did not show reversed differential cyanosis. We conclude that the presence of an aortic arch anomaly should be considered in patients with d-TGA who do not present with reversed differential cyanosis. A further imaging work-up, including computed tomography or magnetic resonance imaging, might be helpful.
Keywords: Anomalous origin of right subclavian artery, Transposition of the great arteries, Reversed differential cyanosis


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