| CLINICAL CASE REPORT |
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| Year : 2018 | Volume
: 31
| Issue : 1 | Page : 22-23 |
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Incidentally detected right aortic arch with mirror image branching in a patient with rheumatic calcific mitral valve disease
Krishna Kumar Mohanan Nair1, Sanjay Ganapathi1, Sonali Inamdar1, Arun Gopalakrishnan1, Tirur Raman Kapilamoorthy2, Ajitkumar Valaparambil1
1 Department of Cardiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram 695011, Kerala, India
2 Department of Imaging Sciences and Interventional Radiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram 695011, Kerala, India
Correspondence Address:
Sanjay Ganapathi
Department of Cardiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram 695011, Kerala
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0970-258X.243408
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An isolated right-sided aortic arch with no congenital heart disease is extremely rare. We report an adult woman with longstanding rheumatic heart disease causing severe calcific mitral stenosis, moderate mitral regurgitation and moderate pulmonary hypertension, for which she underwent mitral valve replacement and tricuspid annuloplasty. On preoperative work-up, she was detected to have a right-sided aortic arch with mirror image branching along with a ductal dimple. However, there were no associated congenital cardiac defects.
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