scholarly journals Pulmonary puzzle: A rare case of dysphagia

2016 ◽  
Vol 22 (3) ◽  
pp. 73
Author(s):  
S Sinha Roy ◽  
Coenraad F N Koegelenberg ◽  
E M Isusen
Keyword(s):  
Aortic Arch ◽  
Chest Radiograph ◽  
Left Subclavian Artery ◽  
Significant Past Medical History ◽  
Descending Aorta ◽  
Specialist Physician ◽  
Abnormal Chest ◽  
Kommerell’S Diverticulum ◽  
History Of ◽  
The Right

<p>A 58-year-old man presented with a longstanding history of dysphagia and sensation of something lodged in the back of his throat. He had no significant past medical history, was a smoker (30 pack-years) and used &gt;60 units of alcohol per week. A physical examination was unremarkable. The patient was referred to the respiratory clinic at Tygerberg Hospital, Cape Town, by a specialist physician who was concerned about the patient’s abnormal chest radiograph (Fig. 1). The chest radiograph showed that the normal left-sided aortic arch and the usual companion descending aorta were absent. The arch coursed to the right with the descending aorta also on the right. A computed tomography (CT) scan (Figs 2 and 3) and reconstructions (Figs 4 and 5) confirmed the right-sided aortic arch with a retrooesophageal aberrant left subclavian artery and formation of a Kommerell’s diverticulum at the origin. In the absence of major complications, he was managed conservatively.</p>

DOUBLE AORTIC ARCH

PEDIATRICS ◽  
1949 ◽  
Vol 4 (6) ◽  
pp. 751-768
Author(s):  
HERBERT E. GRISWOLD ◽  
MAURICE D. YOUNG
Keyword(s):  
Aortic Arch ◽  
Double Aortic Arch ◽  
Rare Type ◽  
Radiographic Findings ◽  
Descending Aorta ◽  
Vascular Abnormalities ◽  
History Of ◽  
The Right ◽  
The Given ◽  
Right Descending Aorta

The anatomic nature of a double aortic arch is described. Reference is made to the history of the malformation. The clinical picture and radiographic findings described by various authors are discussed. Two cases are reported which demonstrate two types of double aortic arch, One, a relatively common type, had a large right arch with a retro-esophageal component and a left descending aorta; the second, a rare type, had a large left arch with a retro-esophageal component and a right descending aorta. Further, one was an infant who had symptoms of constriction whereas the other was an adult who had no symptoms referable to the double aortic arch. Analysis is made of these cases and 47 other cases reported in the literature. This analysis reveals that: 1. There is a striking correlation between the occurrence of symptoms and the age and duration of life, but there is no correlation between the occurrence of symptoms and the type of double aortic. 2. A double aortic arch in which both components are patent throughout is more likely to produce symptoms than a double aortic arch in which one component is partially obliterated. The process of obliteration does not appear to give rise to symptoms. 3. There is considerable variation in the relative sizes of the components of a double aortic arch. The right component is usually the larger; part of the left component may be obliterated. To date, no case has been reported of obliteration of part of a persistent right Component. 4. A double aortic arch occurs more commonly with a left descending aorta than with a right descending aorta. 5. It is unusual for a double aortic arch to be associated with a malformation of the heart. The association of a double aortic arch with other vascular abnormalities is less rare. The two principal problems raised by the demonstration of a retro-esophageal vessel are discussed. The first concerns the nature of the malformation; the second concerns the advisability of operation in the given individual.

scholarly journals Stent erosion after treatment of coarctation of right-sided aorta and successful surgical management

2019 ◽  
Vol 57 (5) ◽  
pp. 1007-1008
Author(s):  
Andreas Rukosujew ◽  
Raluca Weber ◽  
Bernd Kasprzak ◽  
Angelo Maria Dell’Aquila
Keyword(s):  
Aortic Arch ◽  
Subclavian Artery ◽  
Septal Defect ◽  
Artery Bypass ◽  
Previous History ◽  
Second Step ◽  
Descending Aorta ◽  
History Of ◽  
Aorta Replacement ◽  
The Right

Abstract We present a case of surgical treatment of a pseudoaneurysm of the right-sided aortic arch after stent implantation for primary coarctation in a 36-year-old woman with a previous history of ventricle septal defect closure in early childhood. As a first step, she underwent a left carotid to subclavian artery bypass for an aberrant left subclavian artery and as a second step a ‘beating heart’ aortic arch and descending aorta replacement via resternotomy. The postoperative course was uneventful.

Arco aórtico derecho con arteria subclavia izquierda aberrante: Presentación de un caso [Right-sided aortic arch with aberrant left subclavian artery: Case report]

2021 ◽  
Vol 40 (03) ◽  
Author(s):  
Adrían Torres ◽  
Rolando Reyna
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Aortic Arch ◽  
Mediastinal Mass ◽  
Left Subclavian Artery ◽  
X Rays ◽  
Anatomical Variant ◽  
History Of ◽  
The Right ◽  
Arteria Subclavia

<p>Se presenta caso de un paciente con historia de 2 meses de evolución de presentar disfagia, astenia, debilidad generalizada y deposiciones melénicas asociado a dolor abdominal tipo cólico en mesogastrio/epigastrio no irradiado, con dispepsia ocasional exacerbado con la ingesta de alimentos. La placa de tórax revela opacidad paratraqueal derecha con ausencia del boton aórtico izquierdo, con diagnóstico probable de  masa mediastínica. La tomografía de torax contrastata muestra variante anatómica del arco aórtico de ubicación del lado derecho.</p><p> </p><p>Abstract</p><p>We present a case of a patient with a history of 2 months of evolution of having dysphagia, asthenia, generalized weakness and melanin depositions associated with colic-like abdominal pain in non-irradiated mesogastrium / epigastrium, with occasional dyspepsia exacerbated with food intake. The Chest X rays reveals band opacity paratracheal right with absence of the left aortic button, with probable diagnostic of mediastinal mass. The thoracic contrast tomography shows an anatomical variant of the aortic arch located on the right side.</p>

scholarly journals Right aortic arch with an aberrant left subclavian artery: sonographic features by HDlive Flow imaging

2020 ◽  
Vol 30 (6) ◽  
pp. 892-893
Author(s):  
Toyohide Endo ◽  
Daigo Ochiai ◽  
Mamoru Tanaka
Keyword(s):  
Aortic Arch ◽  
Subclavian Artery ◽  
Left Subclavian Artery ◽  
Vascular Ring ◽  
Vascular Anomaly ◽  
Right Aortic Arch ◽  
Flow Imaging ◽  
Branching Pattern ◽  
Aberrant Left Subclavian Artery ◽  
The Right

AbstractThe right aortic arch is a congenital vascular anomaly, which may form a vascular ring. However, prenatal identification of the branching pattern of brachiocephalic vessels is often limited. In this paper, we clearly demonstrated the branching pattern of brachiocephalic vessels in a case of right aortic arch with an aberrant left subclavian artery using HDlive Flow imaging.

scholarly journals Swing-back and trap-door technique repair for interrupted aortic arch with right-sided descending aorta

2019 ◽  
Vol 29 (5) ◽  
pp. 818-819
Author(s):  
Shuichi Shiraishi ◽  
Ai Sugimoto ◽  
Masanori Tsuchida
Keyword(s):  
Congenital Anomaly ◽  
Aortic Arch ◽  
Surgical Repair ◽  
Interrupted Aortic Arch ◽  
Thoracic Cavity ◽  
Descending Aorta ◽  
Rare Congenital Anomaly ◽  
Trap Door ◽  
Oesophageal Obstruction ◽  
The Right

Abstract A right-sided descending aorta with a left aortic arch is a rare congenital anomaly in which the aortic arch crosses the midline from the left side of the trachea coursing to the descending aorta in the right thoracic cavity. The surgical repair of an interrupted aortic arch with a right-sided descending aorta carries great risks of bronchial and oesophageal obstruction. Herein, we describe a case of successful surgical repair of an interrupted aortic arch with a right-sided descending aorta using the swing-back and trap-door techniques.

Double aortic arch presenting with a foreign object in the oesophagus: a case report and imaging diagnosis

2017 ◽  
Vol 27 (8) ◽  
pp. 1651-1653
Author(s):  
Xiuzhen Yang ◽  
Jingjing Ye ◽  
Zhan Gao
Keyword(s):  
Aortic Arch ◽  
Ct Angiography ◽  
Subclavian Artery ◽  
Three Dimensional ◽  
Double Aortic Arch ◽  
Foreign Object ◽  
Right Loop ◽  
Dimensional Reconstruction ◽  
History Of ◽  
The Right

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.

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