Korean Journal of Radiology

The Korean Society of Radiology (대한영상의학회)
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Multi-Detector Row Computed Tomographic Evaluation of a Rare Type of Complete Vascular Ring: Double Aortic Arch with Atretic Left Arch Distal to the Origin of Left Subclavian Artery

  • Hung, Ying-Ying (Department of Radiology, Taichung Veterans General Hospital) ;
  • Fu, Yun-Ching (Section of Pediatric Cardiology, Department of Pediatrics, Taichung Veterans General Hospital) ;
  • Wei, Hao-Ji (Section of Cardiovascular Surgery, Cardiovascular Center, Taichung Veterans General Hospital) ;
  • Tsai, I-Chen (Department of Radiology, Taichung Veterans General Hospital) ;
  • Chen, Clayton Chi-Chang (Department of Radiology, Taichung Veterans General Hospital)
  • Received : 2013.01.03
  • Accepted : 2013.04.04
  • Published : 2013.09.01
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Abstract

Double aortic arch with an atretic left arch distal to the origin of left subclavian artery was diagnosed with multi-detector row computed tomography (MDCT) in two children with dysphagia. This rare type of complete vascular ring is clinically important because it may be confused with right aortic arch in mirror imaging. Anatomic details of this rare type of complete vascular ring demonstrated on MDCT facilitated appropriate surgical treatment.

Keywords

References

  1. Tsai IC, Lee T, Chen MC, Tsai WL, Lin PC, Liao WC. Homogeneous enhancement in pediatric thoracic CT aortography using a novel and reproducible method: contrastcovering time. AJR Am J Roentgenol 2007;188:1131-1137 https://doi.org/10.2214/AJR.06.0902
  2. Schlesinger AE, Krishnamurthy R, Sena LM, Guillerman RP, Chung T, DiBardino DJ, et al. Incomplete double aortic arch with atresia of the distal left arch: distinctive imaging appearance. AJR Am J Roentgenol 2005;184:1634-1639 https://doi.org/10.2214/ajr.184.5.01841634
  3. Holmes KW, Bluemke DA, Vricella LA, Ravekes WJ, Kling KM, Spevak PJ. Magnetic resonance imaging of a distorted left subclavian artery course: an important clue to an unusual type of double aortic arch. Pediatr Cardiol 2006;27:316-320 https://doi.org/10.1007/s00246-005-1118-x
  4. Hong YT, Fu YC, Chen CH, Jan SL, Wang TM, Chang Y, et al. Vascular ring due to double aortic arch with atretic left arch and left ligamentum arteriosum: report of one case. Acta Paediatr Taiwan 2003;44:168-170
  5. Kellenberger CJ. Aortic arch malformations. Pediatr Radiol 2010;40:876-884 https://doi.org/10.1007/s00247-010-1607-9
  6. Edwards JE. Anomalies of the derivatives of the aortic arch system. Med Clin North Am 1948;32:925-949
  7. Turkvatan A, Buyukbayraktar FG, Olcer T, Cumhur T. Congenital anomalies of the aortic arch: evaluation with the use of multidetector computed tomography. Korean J Radiol 2009;10:176-184 https://doi.org/10.3348/kjr.2009.10.2.176

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