Shunt vascularity in a young patient with right-sided aortic arch.

CHEST I 86 I 2 I AUGUST, 1984 251 T he patient was a 14-year-old girl admitted for evaluation of recurrent congestive heart failure. She had limited exercise tolerance and, although able to participate in sports, was fatigued easily. She also reported that her right leg was longer than her left and that her right shoe size was one halfsize larger than the left. On physical examination, the above findings were confirmed, and an increased girth to the right thigh was noted as well. The admission frontal roentgenogram (Fig 1) shows a right-sided aortic arch and increased vascularity, while the lateral view (Fig 2) demonstrates some focal encroachment on the postenor tracheal wall.