RIGHT AORTIC-ARCH WITH MIRROR-IMAGE BRANCHING AND COARCTATION OF THE AORTA

We report a case of right aortic arch with mirror-image branching and coarctation of the aorta and left ductus arteriosus in a 6-year-old bo y. He was referred to Chang Gung Children's Hospital with suspected le ft ventricular failure. Physical examination revealed hypertension and a pulse discrepancy between the upper and lower extremities. Echocard iography and magnetic resonance imaging revealed a right aortic arch, a long segmental aortic coarctation, and a patent ductus arteriosus. I n addition, mirror-image branching of the brachiocephalic vessels was found. The coarctation was resected and the ductus arteriosus was liga ted. The postoperative recovery was uneventful and the blood pressure returned to normal. He remained normotensive and had no symptoms of he art failure within the 2 years of follow-up.