Right Cervical Aortic Arch with Aberrant Left Subclavian Artery

Tjang, Yanto Sandy; Aramendi, José I.; Crespo, Alejandro; Hamzeh, Gadah; Voces, Roberto; Rodrı́guez, Miguel A.

doi:10.1177/021849230801600425

Cited by 12 publications

(6 citation statements)

References 7 publications

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“…CAA has an estimated prevalence of less than 1 in 10 000 live births,4 with approximately 150 cases reported in the literature 5. The aetiology of CAA is uncertain, but the most commonly propagated theories involve the fourth primitive aortic arch, which normally gives rise to the aortic arch.…”

Section: Discussionmentioning

confidence: 99%

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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%

“…Chest radiography is diagnostic of CAA, allowing recognition of the supraclavicular location of the aortic arch and any associated aneurysms 4. CT and MRI studies are complementary4 but have been performed in most case reports of CAA 1 2 4 9 10 15…”

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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“…The usual presentation is that of respiratory distress in the neonatal period. However, there have been few cases diagnosed in adulthood with varying modes of presentations, such as asthma [3], dyspnoea, and dysphagia [1, 2]. The commonest two forms of the vascular rings are associated with right aortic arch with either aberrant left subclavian artery or aberrant innominate artery with ligamentum arteriosum completing the vascular ring.…”

Section: Discussionmentioning

confidence: 99%

“…Symptoms tend to occur early in life, mainly as a result in airway compression [2]. There have been few cases in the literature of adult vascular rings presenting with asthma-like symptoms [3] and indeed respiratory arrest on one occasion [4].…”

Section: Introductionmentioning

confidence: 99%

Typical Asthmatic Presentation of Congenital Vascular Ring Can Masquerade a General Physician

Swami

Koshy²,

Jamal³

et al. 2013

Case Reports in Vascular Medicine

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A 24-year-old woman was referred to pulmonologist with worsening breathlessness and wheeze. During childhood, she was diagnosed with asthma and subsequent exacerbations were treated with bronchodilators for many years. The chest X-ray and a spirometry testing raised a doubt of extrinsic tracheal compression and a subsequent enhanced chest CT (computerized tomogram) scan confirmed a right-sided aortic arch and a vascular ring anomaly compressing the trachea. Standard surgical division of ligamentum arteriosum was able to relieve the trachea and so the symptoms.

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“…Vasküler ring düşünülen hastaya toraks bilgisayarlı tomogrofi (BT) anjiografi çekildi. BT anjiografide ayna hayali dallanma gösteren sağ arkus aortanın mevcut olduğu brakiosefalik arterin asenden aortadan ayrılıp trakeanın önünden sola doğru geçerek sol karotis kommunis ve sol subklavien dallarını verdiği, trakeanın karina bölgesinde ve sol ana bronşun proksimalinde basıya uğradığı (Resim 1-3 (3,4). Özellikle büyük çocuklarda ve erişkinlerde astım tanısı konulup uzun süre takip edilen olgular bildirilmektedir (5,6).…”

Section: Olgu Sunumuunclassified

Respiratory Arrest in Infant Secondary to Vascular Ring; Mirror Image Branching with Right Aortic Arch and Left Ligamentum Arteriosum

Yıldırım¹,

Köşger²,

Özdemir³

et al. 2014

jcp

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KeywordsVascular ring, mirror image branching with right aortic arch, left ligamentum arteriosum Anah tar ke li me ler Vasküler ring, ayna görüntüsü dallanması ile sağ arkus aorta, sol ligamentum arteriosum Abstract Vascular ring is a group of abnormalities that may cause respiratory and feeding problems with varying degrees of compression on the trachea and esophagus by the aortic arch and pulmonary artery. Cough, dyspnea, inspiratory stridor, dysphagia and respiratory failure are seen in these patients at varying intensities. The 15 days old male baby who had difficulty in breathing, had wheezing and coughing was diagnosed with pneumonia and was hospitalized. The patient was referred to us upon developing respiratory arrest. Mirror image branching with right arcus aorta and left ligamentum arteriosum was detected. Trachea and eosophagus of the patient were compressed at varying intensities. Symptoms of the patient related with tracheobronchomalacia which developed due to tracheal compression continued after operation. Patient died on the postoperative day 43 after developing pneumonia and sepsis. With this patient emphasis was placed on the necessity of vascular ring should be in the differential diagnosis in infant and early childhood patients applying with recurrent respiratory symptoms such as wheezing, chronic cough, stridor and those applying with respiratory arrest to the emergency department.

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Right Cervical Aortic Arch with Aberrant Left Subclavian Artery

Cited by 12 publications

References 7 publications

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

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

Typical Asthmatic Presentation of Congenital Vascular Ring Can Masquerade a General Physician

Respiratory Arrest in Infant Secondary to Vascular Ring; Mirror Image Branching with Right Aortic Arch and Left Ligamentum Arteriosum

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