Haytham Bou Hussein
1 
, Rim Salameh
2, Rana Zareef
2, Issam El Rassi
1, Fadi Bitar
2, Ziad Bulbul
2* 1 Heart Center, Al Jalila Children’s Hospital, Al Jaddaf, Dubai, United Arab Emirates
2 Department of Pediatrics and Adolescent Medicine, American University of Beirut Medical Center, Beirut, Lebanon
Abstract
Isolated left innominate artery with right-sided aortic arch and bilateral patent ducts is a rare congenital abnormality. It has been described in association with various intracardiac lesions. In this report we describe the clinical presentation, investigations, and surgical management of a very peculiar case of a 4-year-old female with isolated left brachiocephalic trunk and bilateral patent arterial ducts without associated congenital heart defect, in the setting of 22q11 microdeletion.