Peer-reviewedCC BY-NC-ND 4.0JACC Case Reports
Unexpected Postoperative Remodeling of a Retroesophageal Descending Aorta After Neonatal Arch Reconstruction
- 1Department of Pediatric Cardiology, Ibaraki Children’s Hospital, Mito, Japan
- 2Department of Child Health, Institute of Medicine, University of Tsukuba, Tsukuba, Japan
- 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 -