Clinical value of multi-slice spiral computed tomography angiography and three-dimensional reconstruction in the diagnosis of double aortic arch

Chen, Xin; Qu, Yanjuan; Peng, Zhiyuan; Lu, Jingguo; Ma, Xiaojing; Hu, Wenjuan

doi:10.3892/etm.2014.1763

Cited by 11 publications

(6 citation statements)

References 22 publications

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“…It illustrates the arch dominance and tracheal compression. We used it in 59 cases, and our results match the results of many reportsin which all cases were diagnosed by contrastenhanced MSCT [10,11]. On contrary, in Raghavan`s study, they used Magnetic resonant Imaging (MRI), but as we notice, this was a relatively old study [3].…”

Section: Discussionsupporting

confidence: 66%

Vascular Ring; Spectrum of Pathologies and Scenarios for Diagnosis and Management

Elhelali¹,

Elgamal²,

Mostafa³

et al. 2020

IJCTS

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Background: Vascular rings represent approximately 1% of all congenital cardiac anomalies, with Edward's classification being the first to outline them into a complete or partial vascular ring. A Complete ring is a combination of patent vessels, atretic vascular segments or ligamentous structures. Methods: We reviewed patients` records from our Pediatric Cardiac Surgery Unit, over 10 years. We encountered 63 patients from January 2009 to January 2019. Our patients were 57 (90.5%) complete vascular rings, 5 (7.9%) pulmonary artery slings, and 1 (1.6%) patient with innominate artery compression. Results: The age of our Patients ranged from 2 to 57 months (mean 16.25±1.3 m), weight ranges from 3k to 26k (mean 9.87±0.8kg). Males were 38 (60.3%) and male: female ratio was 1.5:1. In our series various types of vascular rings were encountered; Double Aortic Arch was the right dominant arch variant in 25 (53.2%) and left arch dominant in 7 (14.9%) whilethe co-dominant variant was 15 (31.9%). Fifty-seven cases of vascular rings operated through left posterolateral thoracotomy. Fivecases of pulmonary artery sling (7.9%) operated by median sternotomy and one case (1.6%) of innominate artery compression. No reported intraoperative mortality in our study. Conclusion: Vascular ring is a rare anomaly that needs suspicion for diagnosis. The operative strategy relies on extensive dissection and division of the non-dominant arch and division of the ligamentum, freeing all fibrous bands between the arch and esophagus and trachea. For augmented results; we need collaboration from pediatricians and pulmonologists who must be aware of such anomalies.

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Section: Discussionsupporting

confidence: 66%

Vascular Ring; Spectrum of Pathologies and Scenarios for Diagnosis and Management

Elhelali¹,

Elgamal²,

Mostafa³

et al. 2020

IJCTS

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“…In our study echocardiography succeeded in diagnosis of nine cases with DAA and failed in five, four cases were diagnosed by echocardiography as right aortic arch while three of them diagnosed by MDCT as DAA with dominant right arch and one case showed DAA with atretic left arch, also one case was diagnosed by echocardiography as left aortic arch, but it was diagnosed by MDCT as DAA with dominant left arch. Chen et al 23 reported that DAA diagnosed by MDCT for fifteen cases and all cases confirmed by surgical observation and total of thirteen cases were diagnosed double open arches, nine of them showed dominant right arch, two showed dominant left arch and two seen with balanced right and left arches. Two cases were show one atretic arch and the other arch was open, in both cases the atretic arch was the left.…”

Section: Discussionmentioning

confidence: 97%

Comparative study between multi-detector computed tomography and echocardiography in evaluation of congenital vascular rings

Hamisa

Elsharawy

El-Sherbeny

et al. 2018

Alexandria Journal of Medicine

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Vascular rings are unusual anomalies represent less than 1% of all cardiac anomalies, it is abnormal development of aortic arch complex leading to formation of a ring formed by vessels that encircle both the trachea and esophagus, echocardiography had limited acoustic window which leads to inadequate evaluation of great vessels, Multi-detector computed tomography (MDCT) is one of the most important non invasive diagnostic tool for detection the vascular ring anomalies. The Aim: To evaluate role of MDCT Scanning for diagnosis of congenital vascular rings anomalies compared to echocardiography. Methods: This is a prospective study of 21 children suspected to have vascular ring anomalies. All patients underwent chest radiography, echocardiography examinations and MDCT Scanning using a 128-row CT scanner with 3D reconstruction. Results: Twenty-one patients (11 male and 10 female), mean age (14 months) were diagnosed as vascular ring anomalies by MDCT then confirmed by surgical results MDCT diagnosed 14 patients with (double aortic arch), 4 patients (right sided aortic arch with aberrant left subclavian), 2 patients (left sided aortic arch with aberrant right subclavian artery) and one patient with pulmonary sling. MDCT also diagnosed seven patients with tracheobronchial stenosis. Echocardiography succeeded only in nine patients with DAA and failed in five and succeeded in diagnosis of two cases of (right aortic arch with aberrant left subclavian). Conclusion: MDCT is an excellent diagnostic tool for optimum detection of vascular ring anomalies and other extra cardiac lesions compared to echocardiography.

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“…8 At the same time, CTA is the principal diagnostic technique that enables rapid and high spatial-resolution evaluation of vascular anomalies noninvasively, in addition to assessment of tracheal or esophageal compression. 9 Magnetic resonance imaging can be an alternative non-invasive technique to prevent radiation exposure and the need of iodinated contrast material, although it usually produces worse image reconstruction, density, and time resolutions than those of CTA. 10 We routinely perform truncal 3D-CTA prior to CAS to assess the risk of cholesterol embolism syndrome as well as the anatomical suitability for CAS.…”

Section: Discussionmentioning

confidence: 99%

Carotid artery stenting in a patient with an incidentally found double aortic arch: A case report

et al. 2021

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Double aortic arch is a type of congenital vascular ring, which rarely presents in adults. Herein, we report a case of carotid artery stenting (CAS) accompanied by an incidentally found double aortic arch. A 77-year-old man presented with bilateral severe carotid artery stenosis. The patient underwent truncal 3D-computed tomography angiography (CTA) to evaluate the access route before CAS, which lead to the diagnosis of an asymptomatic double aortic arch. Referring to the 3D-CTA images, a guiding catheter was successfully navigated to the targeted common carotid artery via the transfemoral approach despite the challenging, complex anatomy of the aortic arch. CAS was performed in both carotid arteries under distal balloon protection, without any neurological deficits. Considering the possible presence of anatomical variants such as double aortic arch, preoperative evaluation of the access route would be efficient for prospective CAS patients.

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Clinical value of multi-slice spiral computed tomography angiography and three-dimensional reconstruction in the diagnosis of double aortic arch

Cited by 11 publications

References 22 publications

Vascular Ring; Spectrum of Pathologies and Scenarios for Diagnosis and Management

Vascular Ring; Spectrum of Pathologies and Scenarios for Diagnosis and Management

Comparative study between multi-detector computed tomography and echocardiography in evaluation of congenital vascular rings

Carotid artery stenting in a patient with an incidentally found double aortic arch: A case report

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