# Left Innominate Artery With Anomalous Origin From the Pulmonary Trunk: A Case Report of an Unnoticed Malformation

## TL;DR

A rare case of a newborn with a complex heart defect involving an unusual artery origin is reported, highlighting the importance of early diagnosis and advanced imaging.

## Contribution

This case report documents a rare vascular anomaly involving the left innominate artery's origin from the pulmonary trunk in a premature infant.

## Key findings

- CT angiography revealed a left innominate artery arising from the pulmonary trunk in a newborn with hypoplastic right ventricle.
- The infant died at two and a half months due to multi-organ failure despite valvuloplasty and multidisciplinary care.
- Early diagnosis and advanced imaging are critical for managing complex congenital heart malformations.

## Abstract

Thoracic vascular congenital anomalies are malformations with significant clinical implications. One of the rarest anomalies is the anomalous origin of the brachiocephalic trunk from the pulmonary trunk, often associated with serious complications such as pulmonary hypertension. Diagnosis is facilitated by advanced imaging techniques, including MRI and CT scans. We present a case of a premature newborn with congenital heart disease (hypoplastic right ventricle) who developed respiratory and septic complications. A CT angiography revealed a left innominate artery arising from the pulmonary trunk. Despite valvuloplasty and multidisciplinary management, the infant passed away at two and a half months due to multi-organ failure. Early diagnosis and interdisciplinary management, aided by advanced imaging techniques such as CT angiography, are crucial for improving outcomes in patients with complex congenital heart malformations.