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Peer-reviewedCC BY-NC-ND 4.0JACC Case Reports

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

  1. 1Department of Pediatric Cardiology, Ibaraki Children’s Hospital, Mito, Japan
  2. 2Department of Child Health, Institute of Medicine, University of Tsukuba, Tsukuba, Japan
  3. 3Department of Cardiovascular Surgery, Ibaraki Children’s Hospital, Mito, Japan

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.

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BibTeX
@article{lin2026unexpected,
  title = {{Unexpected Postoperative Remodeling of a Retroesophageal Descending Aorta After Neonatal Arch Reconstruction}},
  author = {Lisheng Lin and Masakazu Abe and Masaki Tominaga and Shushi Fujisato and Junko Shiono},
  journal = {JACC Case Reports},
  year = {2026},
  month = aug,
  doi = {10.1016/j.jaccas.2026.109893},
  url = {https://doi.org/10.1016/j.jaccas.2026.109893},
  note = {CC BY-NC-ND 4.0},
}
RIS
TY  - JOUR
TI  - Unexpected Postoperative Remodeling of a Retroesophageal Descending Aorta After Neonatal Arch Reconstruction
AU  - Lisheng Lin
AU  - Masakazu Abe
AU  - Masaki Tominaga
AU  - Shushi Fujisato
AU  - Junko Shiono
PY  - 2026
DA  - 2026/08/18
JO  - JACC Case Reports
DO  - 10.1016/j.jaccas.2026.109893
UR  - https://doi.org/10.1016/j.jaccas.2026.109893
AB  - 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.
SN  - 2666-0849
ER  -