Right cervical aortic arch with aneurysm and stenotic tract of left descending aorta and aberrant left subclavian artery: case report of a 13-years-old patient

Background: Cervical aortic arch (CAA) is a rare anomaly that could be associated with aortic stenosis, aneurysm or heart malformations. To correct this anomaly, symptomatic patients undergo surgery, usually consisting of a prosthetic graft repair. Moreover, circulatory arrest and deep hypothermia are often needed. Case presentation: A 13-years-old patient underwent correction of an aortic arch stenosis with a post-stenotic aneurysm between the origin of the right carotid artery (RCA) and right subclavian artery (RSA) in a right CAA. A resection with direct end-to-end anastomosis was performed, with mild hypothermic cardiopulmonary by-pass. Conclusions: : Surgical correction of cervical aortic arch anomalies without the use of prosthetic grafts and circulatory arrest may be a safe alternative approach, especially in the pediatric population.