Congenital Anomalies of the Aortic Arch in Acute Type-A Aortic Dissection: Implications for Monitoring, Perfusion Strategy, and Surgical Repair

Maxwell, Bryan G.; Harrington, Katherine; Beygui, Ramin E.; Oakes, Daryl

doi:10.1053/j.jvca.2013.12.001

Cited by 20 publications

(19 citation statements)

References 15 publications

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“…Moreover, knowledge of the associations’ specific to a particular aortic arch anomaly is important in directing further detailed search for other associated defects and anomalies. Identification of these malformations allows for accurate surgical and intervention planning and helps avoid potential complications [15]. Detailed evaluation of aortic arch anatomy is important for planning thoracic surgery and endovascular intervention, as the presence and pattern of arch variants and anomalies may influence the surgical incision, cardiopulmonary bypass cannulation, and/or interventional approach.…”

Section: Discussionmentioning

confidence: 99%

Right-sided aortic arch with mirror image branching and situs solitus: a case of a 79 years old woman

Morosetti

Stefano

Mondillo

et al. 2019

Radiology Case Reports

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Right aortic arch with mirror image branching (RAMI) is a rare congenital defect of the aorta. The exact incidence of RAMI in the general population is unclear. In RAMI the first branch arising from the arch is the left innominate artery, followed by the right carotid artery and right subclavian arteries. We report a case of an adult female patient with RAMI discovered as an incidental finding during radiological investigations for suspected pulmonary embolism in emergency department. No other congenital malformations were reported. It is important to recognize congenital variants of the aortic arch, as they can have relevant implications for patients’ prognosis and management. Therefore, being aware of these conditions is key to avoid any mistakes or surgical and endovascular complications.

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Section: Discussionmentioning

confidence: 99%

Right-sided aortic arch with mirror image branching and situs solitus: a case of a 79 years old woman

Morosetti

Stefano

Mondillo

et al. 2019

Radiology Case Reports

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“…The role of BA on treatment outcomes has, however, only been studied in patients with Stanford type A aortic dissection. 10,23 In a multicentre study of 157 patients, operated on for type A aortic dissection, the authors concluded that the presence of a BA could predict the location of the primary entry tear in the aortic arch and was an independent risk factor for a poor neurological outcome. Multivariate analysis did not show BA as a risk factor for in hospital mortality.…”

Section: Discussionmentioning

confidence: 99%

“…2e8 In older studies these patterns were considered as physiological abnormalities and to have less clinical impact; nowadays, with the evolution of surgical and endovascular interventions in the aortic arch, the presence of these variants could pose significant challenges to the surgeon or even influence the outcome. 9,10 Moreover, several studies have recently found an association between the presence of a BA and aortic dilatation, 7,11,12 and further studies have suggested an increased prevalence of the BA among patients with aortic dissection versus healthy subjects, but this has not been confirmed by others. 13e15 The present study aimed to investigate the prevalence of BA among patients with aortic dissection and to provide insight into the implication of this variation on outcome of patients with acute or subacute type B aortic dissection (a/ sTBAD).…”

Section: Introductionmentioning

confidence: 96%

Prevalence of Bovine Aortic Arch Variant in Patients with Aortic Dissection and its Implications in the Outcome of Patients with Acute Type B Aortic Dissection

Mylonas

Barkans

Ante

et al. 2018

European Journal of Vascular and Endovascular Surgery

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“…Arch anomalies may increase the technical difficulty of endovascular treatment including carotid stent procedures, and the risk of neurologic complications (11). Knowledge of aortic anatomy and identification of arch anomalies allows for accurate surgical and intervention planning and helps avoid potential complications (12).…”

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confidence: 99%

Congenital Variants and Anomalies of the Aortic Arch

Hanneman¹,

Newman²,

Chan³

2017

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274

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Congenital variants and anomalies of the aortic arch are important to recognize as they may be associated with vascular rings, congenital heart disease, and chromosomal abnormalities, and can have important implications for prognosis and management. The purpose of this article is to review cross-sectional imaging techniques used in the evaluation of the aortic arch, describe the embryology and anatomy of the aortic arch system, discuss aortic arch variants and anomalies, and review other malformations of the aortic arch, including interrupted aortic arch, hypoplastic aortic arch, and aortic coarctation. Aortic arch variants and anomalies will be reviewed in the context of a theoretical double aortic arch system. Arch anomalies can be associated with symptoms, such as dysphagia lusoria in the setting of left aortic arch with aberrant right subclavian artery. Arch variants that form a vascular ring, such as double aortic arch, can result in respiratory distress due to tracheal compression. Certain arch anomalies are strongly associated with congenital heart disease, including right aortic arch with mirror image branching. Other malformations of the aortic arch have important associations, such as type B interrupted aortic arch, which is associated with a locus 22q11.2 microdeletion. Noninvasive imaging at CT angiography and MR angiography allows for comprehensive evaluation of the aortic arch and branch vessels in relation to surrounding structures. Familiarity with the spectrum and imaging appearances of aortic arch variants, anomalies, and malformations is essential for accurate diagnosis and classification and to guide management. Online supplemental material is available for this article. RSNA, 2016.

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Congenital Anomalies of the Aortic Arch in Acute Type-A Aortic Dissection: Implications for Monitoring, Perfusion Strategy, and Surgical Repair

Cited by 20 publications

References 15 publications

Right-sided aortic arch with mirror image branching and situs solitus: a case of a 79 years old woman

Right-sided aortic arch with mirror image branching and situs solitus: a case of a 79 years old woman

Prevalence of Bovine Aortic Arch Variant in Patients with Aortic Dissection and its Implications in the Outcome of Patients with Acute Type B Aortic Dissection

Congenital Variants and Anomalies of the Aortic Arch

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