Congenital thoracic arterial anomalies in adult: CT overview

Yıldırım, Afra; Karabulut, Nevzat; Doğan, Serap; Herek, Duygu

doi:10.4261/1305-3825.dir.4645-11.1

Cited by 18 publications

(18 citation statements)

References 24 publications

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“…A right aortic arch with a mirror image branching pattern is associated with tetralogy of Fallot, truncus arteriosus and VSD in 98% of cases 2. However, associated congenital heart diseases are rarely seen with a right aortic arch and aberrant LSCA (in our case, association was seen with dextrocardia, malposed aorta and VSD-pulmonary atresia) 2. Sometimes, these rings are symptomatic and may cause tracheal compression or dysphagia 3.…”

Section: Descriptionmentioning

confidence: 71%

Symptomatic anomalous vascular ring with right aortic arch

et al. 2016

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DESCRIPTIONA 3-month-old girl child presented with a history of respiratory distress, rapid breathing and mild cyanosis since birth. Auscultation revealed systolic murmur (3/6) in the right parasternal and upper left parasternal area. ECG showed right axis deviation. Chest radiograph revealed mild cardiomegaly. Echocardiography was suggestive of double outlet right ventricle, ventricular septal defect (VSD) and pulmonary atresia. CT angiography revealed dextrocardia, VSD and pulmonary atresia with confluent, good-sized pulmonary arteries. The aorta was seen anterior to the pulmonary artery with right aortic arch. An aberrant left subclavian artery (LSCA) was seen with presence of large left persistent ductus arteriosus, connecting to the ostial left pulmonary artery forming an anomalous vascular ring, and causing lower tracheal compression (figure 1).A symptomatic anomalous vascular ring with right aortic arch is very rare. A more common occurrence with right aortic arch is an aberrant LSCA followed by a mirror image branching pattern.1 Association with isolation of the subclavian artery is even rarer. Arch anomalies are usually associated with congenital heart diseases. A right aortic arch with a mirror image branching pattern is associated with tetralogy of Fallot, truncus arteriosus and VSD in 98% of cases. However, associated congenital heart diseases are rarely seen with a right aortic arch and aberrant LSCA (in our case, association was seen with dextrocardia, malposed aorta and VSD-pulmonary atresia).2 Sometimes, these rings are symptomatic and may cause tracheal compression or dysphagia. 3Recognition and classification of these associated aortic arch anomalies are of prime importance in the management of congenital heart diseases.

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Section: Descriptionmentioning

confidence: 71%

Symptomatic anomalous vascular ring with right aortic arch

et al. 2016

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“…Diagnosis of truncus arteriosus with delineation of structural co-morbidities is now available non-invasively with computed tomography (CT) and cardiovascular magnetic resonance imaging (MRI). There have been reported cases of pre-natal diagnosis of truncus arteriosus (11,(28)(29)(30).…”

Section: Discussionmentioning

confidence: 99%

Truncus Arteriosus: Surviving at 46 Years without Intervention

Williams-Phillips¹

2013

West Indian Med J

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“…). This was historically diagnosed by contrast esophagography as an anterior indention of the esophagus . At the present time, diagnosis with CT allows for visualization of the distal trachea and much greater detail of the thoracic anatomy.…”

Section: Applications Of Ct In Chdmentioning

confidence: 99%

Computed Tomography in Congenital Heart Disease: Clinical Applications and Technical Considerations

Kulkarni

Hsu

et al. 2015

Echocardiography

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Computed tomography (CT) is increasingly applied as an aid to clinical decision making in congenital heart disease (CHD) with regard to surgery, interventional catheterizations, and follow-up. It is particularly useful for the assessment of vascular and airway abnormalities. Updated knowledge of CT imaging techniques is mandatory not only for the optimization of image acquisition protocols, but also for the postprocessing reconstruction and interpretation of CT findings. The purpose of this article was to review the clinical indications, techniques, and dose reduction methods for CT imaging in children and adults with CHD. Relevant discussion and illustrations of common forms of CHD evaluated by CT are presented.

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Congenital thoracic arterial anomalies in adult: CT overview

Cited by 18 publications

References 24 publications

Symptomatic anomalous vascular ring with right aortic arch

Symptomatic anomalous vascular ring with right aortic arch

Truncus Arteriosus: Surviving at 46 Years without Intervention

Computed Tomography in Congenital Heart Disease: Clinical Applications and Technical Considerations

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