Right cervical aortic arch with unusual origin of left carotid artery.
Year: 2011
Type: article
Study design: Case Report
Abstract: A 9-year-old boy presented with a history of lower respiratory infections and stridor. At age 18 months, he had undergone surgery for inguinal hernia and tracheoesophageal fistula. Physical examination now revealed a pulsatile mass in the right supraclavicular region.
Transthoracic echocardiography and aortography showed a right cervical aortic arch: the right subclavian artery and right carotid artery arose from the right cervical arch (Fig. 1), and the left carotid artery originated from the ascending aorta (Fig. 2). Computed tomography revealed this anatomic configuration and tracheal compression (Figs. 3 and and4).4). The patient was referred for cardiac surgery.
Fig. 4 Three-dimensional, volume-rendered, coronal 64-slice multidetector computed tomographic image shows tracheal compression, a right aortic arch, and a left carotid artery that arises from the ascending aorta.
Fig. 3 Axial 64-slice multidetector computed tomographic image shows a right aortic arch and tracheal compression.
Fig. 2 Aortography during cardiac catheterization shows a right aortic arch and a left carotid artery that arises from the ascending aorta.
Fig. 1 Aortography during cardiac catheterization shows a right aortic arch.
Source: PubMed
Institution: Inonu University
Language: English
Subfield: Cardiology and Cardiovascular Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W1805232346