Cervical Aortic Arch

Açıkel, Ünal; Uğurlu, Baran; Hazan, E; Salman, Ergun

doi:10.1177/000331979704800715

Cited by 13 publications

(4 citation statements)

References 2 publications

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“…Most of the patients with this anomaly are asymptomatic, but symptoms of dysphagia and respiratory distress due to the compression by the vascular ring have been reported. 31 It should be considered in the differential diagnosis of pulsatile masses in the neck. 32 Other Variant Branching Sequence Variations in the sequence of branching of the major arch vessels also occur rarely (< 0.5%).…”

Section: Cervical Aortic Archmentioning

confidence: 99%

Aortic Development and Anomalies

Kau

Sinzig

Gasser

et al. 2007

Semin intervent Radiol

148

143

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Development of the aorta takes place during the third week of gestation. It is a complex process that can lead to a variety of congenital variants and pathological anomalies. In diagnostic and interventional radiology, knowledge of aortic abnormalities and variant branching sequence is crucially important. This article gives a systematic overview of anatomical variability of the aorta. KEYWORDS: Thoracic aorta, embryology, anatomical variantsObjectives: Upon completion of this article, the reader should (1) understand the development of the thoracic aorta and great vessels, and (2) understand the anatomical and pathological conditions that require consideration when treating diseases of the thoracic aorta. Development of the aorta takes place during the third week of gestation.1 It is a complex process associated with the formation of the endocardial tube (day 21), which lends itself to a variety of congenital variants. Each primitive aorta consists of a ventral and a dorsal segment that are continuous through the first aortic arch. The two ventral aortae fuse to form the aortic sac. The dorsal aortae fuse to form the midline descending aorta. Six paired aortic arches, the so-called branchial arch arteries, develop between the ventral and dorsal aortae. In addition, the dorsal aorta gives off several intersegmental arteries (Fig. 1).The vessels derived from each arch are as follows: The first pair contributes to formation of the maxillary and external carotid arteries. The second pair contributes to formation of the stapedial arteries. The third aortic arch constitutes the commencement of the internal carotid artery and is therefore named the carotid arch.Proximal segments of the third pair form the common carotid arteries. Together with segments of the dorsal aortae, the distal portions contribute to formation of the internal carotid arteries. The left arch of the fourth pair forms the segment of normal left aortic arch between the left common carotid and subclavian arteries. The right fourth arch forms the proximal right subclavian artery. The distal right subclavian artery is derived from a portion of the right dorsal aorta and the right seventh intersegmental artery. Rudimentary vessels that regress early develop out of the fifth pair. The left arch of the sixth pair contributes to the formation of the main and left pulmonary arteries and ductus arteriosus; this duct obliterates a few days after birth. The right sixth arch contributes to formation of the right pulmonary artery. 2With the caudad migration of the heart in the second fetal month, the seventh intersegmental arteries enlarge and migrate cephalad to form the distal subclavian

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Section: Cervical Aortic Archmentioning

confidence: 99%

Aortic Development and Anomalies

Kau

Sinzig

Gasser

et al. 2007

Semin intervent Radiol

148

143

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“…Since there was a coexisting high aortic arch, we believe that this branching pattern could be explained embryologically by persistence of the right third aortic arch (forming the high aortic arch) and involution of the right fourth aortic arch and the left fourth arch distal to the origin of the LCCA (derived from the left third arch) (Figure 2). 4 To the best of our knowledge, the combination of these vascular anomalies has not been reported in the literature yet. Although rare, the current case emphasizes the importance of screening for CoA and abnormalities of aortic arch in TOF patients for accurate pre‐surgical planning and to predict the postoperative outcomes.…”

Section: Figurementioning

confidence: 95%

Origin of the left common carotid artery from ascending aorta in association with tetralogy of Fallot and hypoplastic right cervical aortic arch

Pujitha

Ojha

Ramakrishnan

et al. 2022

Journal of Cardiac Surgery

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“…1B). It can be divided into 2 main types: type 1 with mirror--image branching, where there is no vascular ring present, and type 2, with an aberrant left subclavian tients may become symptomatic, presenting signs of external compression including dysphagia, dyspnoea, or frequent pulmonary infections, as in 1 patient of Haughton B type cervical aortic arch with dual common carotid arteries [1]. The coarctated segment of the cervical aorta is considered the aetiology of dysphagia.…”

Section: Right Aortic Archmentioning

confidence: 99%

Cardiovascular dysphagia — anatomical and clinical implications

Yuan

2014

Folia Morphol

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Cervical Aortic Arch

Cited by 13 publications

References 2 publications

Aortic Development and Anomalies

Aortic Development and Anomalies

Origin of the left common carotid artery from ascending aorta in association with tetralogy of Fallot and hypoplastic right cervical aortic arch

Cardiovascular dysphagia — anatomical and clinical implications

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