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Diagnosis of Anomalous Origin of the Right Subclavian Artery from the Right Pulmonary Artery in a Patient with D-transposition of the Great Arteries Utilizing Transthoracic Echocardiography
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  • Luv Makadia,
  • James Nielsen,
  • Susheel Kumar,
  • Puneet Bhatla
Luv Makadia
Hassenfeld Children's Hospital at NYU Langone
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James Nielsen
Hassenfeld Children's Hospital at NYU Langone
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Susheel Kumar
NYU Langone Health
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Puneet Bhatla
NYU Langone Medical Center
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Abstract

Diagnosis of anomalous origin of the right subclavian artery (AORSA) from the right pulmonary artery (RPA) is usually made using CT or invasive angiography. We report a patient diagnosed using transthoracic echocardiography (TTE). A newborn girl prenatally known to have d-TGA presented with cyanosis sparing the right hemithorax and arm. Oxygen saturations on the right hand were persistently higher than on the right ear and other extremities. Repeat TTE using a modified echocardiographic imaging plane allowed for full visualization of the entire subclavian artery course, revealing AORSA from RPA. We discuss further the approach to echocardiographic diagnosis and surgical implications.

Peer review status:IN REVISION

08 Jun 2020Submitted to Echocardiography
15 Jun 2020Submission Checks Completed
15 Jun 2020Assigned to Editor
15 Jun 2020Reviewer(s) Assigned
08 Jul 2020Review(s) Completed, Editorial Evaluation Pending
10 Jul 2020Editorial Decision: Revise Major
11 Jul 20201st Revision Received
13 Jul 2020Assigned to Editor
13 Jul 2020Submission Checks Completed
13 Jul 2020Reviewer(s) Assigned
30 Jul 2020Review(s) Completed, Editorial Evaluation Pending
30 Jul 2020Editorial Decision: Revise Minor
19 Aug 20202nd Revision Received
21 Aug 2020Submission Checks Completed
21 Aug 2020Assigned to Editor
21 Aug 2020Reviewer(s) Assigned
04 Sep 2020Review(s) Completed, Editorial Evaluation Pending
04 Sep 2020Editorial Decision: Revise Minor