VASCULAR RING- LEFT AORTIC ARCH WITH RIGHT DESCENDING THORACIC AORTA AND RIGHT LIGAMENTUM ARTERIOSUM

Abstract

Jai Prakash Soni1, Mohan Makwana2, Suresh Kumar3, Kirti Chaturvedi4, Pradeep Singh5, Ratan Lal Bhati6, Amith Ahemad7

BACKGROUND
The Gerbode left ventriculo-right atrial defect is a very rare congenital anomaly. Gerbode described two routes for blood to travel from the left ventricle to the right atrium, a direct or supravalvular or (type A) and an indirect (type B) or infravalvular.
Case Characteristics- A male born to nonconsanguineous couple and had indirect type C Gerbode VSD. Observation- The child had midmuscular VSD. Blood flow from left ventricle to right ventricle through midmuscular VSD and then through tunnel formed by tricuspid to right atrium. Outcome- Parent advised to go for further investigation. Message-A rare congenital malformation to be suspected when any child with midmuscular VSD have tricuspid regurgitation.
KEYWORDS
Gerbode Left Ventriculo-Right Atrial Defect, Vascular Ring, Left Aortic Arch, Ligamentum Arteriosum.

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