Work

Unexpected Postoperative Remodeling of a Retroesophageal Descending Aorta After Neonatal Arch Reconstruction

Year: 2026

Type: article

Abstract: CASE SUMMARY: A neonate with an interrupted aortic arch type A underwent successful neonatal arch reconstruction. Preoperative computed tomography demonstrated a retroesophageal descending aorta coursing on the right side of the vertebral body. Follow-up imaging 8 months after surgery unexpectedly demonstrated complete relocation of the descending aorta to the left side of the vertebral body. An altered aortic course was confirmed by catheter angiography. TAKE-HOME MESSAGE: Postoperative remodeling of the retroesophageal descending aorta may occur after neonatal arch reconstruction and should be recognized during postoperative imaging assessment.

Source: JACC Case Reports

DOI: 10.1016/j.jaccas.2026.109893

Authors: Lisheng Lin, Masakazu Abe, Masaki Tominaga, Shushi Fujisato, Junko Shiono

Institutions: University of Tsukuba, Ibaraki Children's Hospital

Language: English

Topic: Congenital Heart Disease Studies

Subfield: Cardiology and Cardiovascular Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $850