Congenital Anomalies of Aortic Arch: CT Angiography

2001 ◽  
Vol 44 (1) ◽  
pp. 51 ◽  
Author(s):  
Yung Moon ◽  
Yang Min Kim ◽  
Tae Hoon Kim ◽  
Mi Young Kim ◽  
Jae Young Lee ◽  
...  
Author(s):  
Xiangmin Li ◽  
Zhenpeng Peng ◽  
Xuhui Zhou ◽  
Zhi Dong ◽  
Chaogui Yan ◽  
...  

2021 ◽  
pp. 1-3
Author(s):  
Mariana Lemos ◽  
Miguel Fogaça da Mata ◽  
Ana Coutinho Santos

Abstract An 18-month-old male with pulmonary atresia and ventricular septal defect presented with stridor after neonatal systemic-to-pulmonary artery shunt surgery, that persisted on follow-up. CT angiography revealed a vascular ring with balanced double aortic arch.


2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
I Campos ◽  
C Vieira ◽  
N Salome ◽  
V H Pereira ◽  
A Costeira Pereira ◽  
...  

Abstract Introduction Complete vascular rings represent about 0.5-2% of all congenital cardiovascular malformations, with the double aortic arch (DAA) being the most common of the complete vascular rings, causing tracheoesophageal compression. The right (posterior) arch is usually dominant (70%), although the two arches can have the same size (5%). The left (anterior) arch is dominant in only approximately 25% of cases. In most cases, this anomaly is diagnosed during childhood due to symptoms caused by oesophageal or tracheal compression. For this reason, case reports of adults are rare. This report describes a case of a 61-year-old woman with DAA with dominant left arch, diagnosed accidentallyby thoracic CT angiography. Case Report Description A 61 years old woman with a previous story of hypertension and type 1 diabetes presented to the emergency service with dyspnoea and thoracic pain. She also referred a history of intermittent dysphagia and cough with at least 12 years of progression. All the parameters of the physical examination were within normal limits. The electrocardiogram showed a normal sinus rhythm with no evidence of acute ischemia and her blood analyses did not show any abnormalitie. She also performed a thoracic CT angiography, which excluded signs of pulmonary embolism, but revealed a vascular ring suggesting a double aortic arch with permeability in both right and left arches as well as their collaterals. The Cardiac MRI was performed with the purpose of excluding ischemia, confirming the double aortic arch with left dominance. The right arch, posterior to the oesophagus and trachea, and the left arch, in an anterior position, showed an anatomic compression of the oesophagus as well as the proximal trachea, capable of eliciting the symptoms mentioned. Other congenital anomalies were excluded. The echocardiography did not demonstrate any additional cardiac malformation. Endoscopy shows a pulsatile extrinsic compression of the esophagus (aortic ring). The patient is currently being studied and closely monitored in the Cardiology consultation. Discussion The most common type of complete vascular ring is the double aortic arch, which accounts for 70% of the complete rings. In most cases, there are two permeable arches, usually with right dominance (70% of the cases). Rarely, both arches are symmetrical. Symptoms usually appear in the fifth month of life. In most cases, only supportive treatment is required. Conclusion This case illustrates the atypical features of this congenital malformation, namely the diagnosis during adulthood as well as the left dominance. Abstract P725 Figure. A double aortic arch


2012 ◽  
Vol 198 (5) ◽  
pp. W466-W474 ◽  
Author(s):  
Luis Ramos-Duran ◽  
John W. Nance ◽  
U. Joseph Schoepf ◽  
Thomas Henzler ◽  
Paul Apfaltrer ◽  
...  

2017 ◽  
Vol 27 (8) ◽  
pp. 1651-1653
Author(s):  
Xiuzhen Yang ◽  
Jingjing Ye ◽  
Zhan Gao

AbstractIn this article, we report a rare case of double aortic arch. The case presented initially with a foreign object in the oesophagus. The patient was a 2-year-old boy, who was referred with primary symptoms of tussis (15 days) and emesis (2 days). He had a history of ingesting a coin. Routine chest X-ray indicated a rounded, metal foreign object in the upper oesophagus. A half-Yuan coin was removed by gastroduodenoscopy. Echocardiographic imaging suggested that the patient had double aortic arch, which was subsequently diagnosed by CT angiography with three-dimensional reconstruction. The right subclavian artery arose from the right loop of the double aortic arch. The left subclavian artery as well as left and right common carotid arteries had distinct origins from the left aortic arch. Imaging also indicated atresia of the distal left arch. The patient underwent corrective surgery and made a full recovery. Despite the rarity, double aortic arch should be considered when patients present with a foreign object in the oesophagus. Echocardiography and CT angiography can inform the diagnosis.


2016 ◽  
Vol 69 (7) ◽  
pp. 681-693
Author(s):  
Luis García-Guereta ◽  
Estefanía García-Cerro ◽  
Montserrat Bret-Zurita

2009 ◽  
Vol 10 (2) ◽  
pp. 176 ◽  
Author(s):  
Aysel Türkvatan ◽  
Fatma Gül Büyükbayraktar ◽  
Tülay Ölçer ◽  
Turhan Cumhur

PEDIATRICS ◽  
1988 ◽  
Vol 81 (5) ◽  
pp. 707-710
Author(s):  
LOÏC VAILLANT ◽  
GÉRARD LORETTE ◽  
ALAIN CHANTEPIE ◽  
MICHEL MARCHAND ◽  
DANIEL ALISON ◽  
...  

Strawberry hemangiomas are the most common congenital vascular malformation seen in infants. Usually, they appear as a raised bright or purplish red lobulated tumor with well-defined borders and capillaries protruding from its surface. They are not present at birth. They develop during the first weeks of life, grow rapidly during the first 6 months, remain stationary for awhile, and then undergo complete or partial involution and resolution without treatment. Usually, these hemangiomas are solitary or in small number1 and are not associated with congenital anomalies. We report a case of strawberry hemangiomas that is unusual because of the multiplicity and extension associated with laryngeal hemangioma and coarctation with right aortic arch.


1990 ◽  
Vol 26 (4) ◽  
pp. 747
Author(s):  
S M Kim ◽  
J G Im ◽  
K S Park ◽  
J H Park ◽  
M C Han

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