An adult with right aortic arch and dysphagia

Rao, Venugopal Ram; Moorthy, Nagaraja; Hegde, Madhav; Nanjappa, Manjunath Cholenahally

doi:10.1093/eurheartj/eht116

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2018

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“…Other possible findings are blood pressure discrepancies in the upper limbs, loss or a decrease of femoral or contralateral upper limb pulses on compression of the pulsatile mass and cardiac murmurs 8 9. Specific cardiac anomalies associated with CAA include ventricular septal defect, tetralogy of Fallot and pulmonary atresia 9. Other complications of CAA include aortic aneurysms, which arise in approximately 20% of cases,10 and atherosclerosis, with a consequent risk of cerebrovascular disease 6…”

Section: Discussionmentioning

confidence: 99%

Cervical aortic arch: an unusual cause of a pulsatile neck mass

Steele¹,

Silver

Beegun

et al. 2018

BMJ Case Reports

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A 72-year-old man presented with epistaxis on two occasions requiring admission. Prior to performing a bilateral sphenopalatine artery ligation diathermy, anaesthetic concern was raised regarding what the patient described as a 'congenital aortic aneurysm', with an overlying scar secondary to explorative surgery as a child. The abnormality was a cervical aortic arch (CAA). CAA is a rare vascular anomaly, which most commonly manifests as a pulsatile neck mass. In this case, we discuss the differential diagnosis for a pulsatile neck mass and considerations to be made in the workup. We also highlight the importance of cardiovascular risk factor management in patients with CAA.

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Section: Discussionmentioning

confidence: 99%