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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.<\/jats:p>","DOI":"10.34172\/jcvtr.33194","type":"journal-article","created":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T19:30:58Z","timestamp":1791142258000},"page":"136-139","update-policy":"https:\/\/doi.org\/10.34172\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Isolated Left Innominate Artery with a Right Arch and Bilateral Patent Arterial Ducts in a Patient with 22q11 Microdeletion: Report of a Rare Case"],"prefix":"10.34172","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-3938-8043","authenticated-orcid":true,"given":"Haytham","family":"Bou Hussein","sequence":"first","affiliation":[{"name":"Heart Center, Al Jalila Children\u2019s Hospital, Al Jaddaf, Dubai, United Arab Emirates"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rim","family":"Salameh","sequence":"additional","affiliation":[{"name":"Department of Pediatrics and Adolescent Medicine, American University of Beirut Medical Center, Beirut, Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rana","family":"Zareef","sequence":"additional","affiliation":[{"name":"Department of Pediatrics and Adolescent Medicine, American University of Beirut Medical Center, Beirut, Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Issam","family":"El Rassi","sequence":"additional","affiliation":[{"name":"Heart Center, Al Jalila Children\u2019s Hospital, Al Jaddaf, Dubai, United Arab Emirates"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fadi","family":"Bitar","sequence":"additional","affiliation":[{"name":"Department of Pediatrics and Adolescent Medicine, American University of Beirut Medical Center, Beirut, Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0893-0435","authenticated-orcid":true,"given":"Ziad","family":"Bulbul","sequence":"additional","affiliation":[{"name":"Department of Pediatrics and Adolescent Medicine, American University of Beirut Medical Center, Beirut, Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"20123","published-online":{"date-parts":[[2026,6,30]]},"reference":[{"key":"R1","doi-asserted-by":"publisher","DOI":"10.1016\/s0095-5108(05)70067-1"},{"key":"R2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2009.01.002"},{"key":"R3","doi-asserted-by":"crossref","unstructured":"Penslar J, Menard C, Lee S. 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