Right-sided Oropharyngeal Cervical Aortic Arch

Halpin, Jared S.; Kunin, Jeffrey R.; Rosado-de-Christenson, Melissa L.

doi:10.1097/rti.0b013e3181cecffa

Cited by 4 publications

(2 citation statements)

References 7 publications

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“…Medical management is important in CAA, with an emphasis on controlling cardiovascular risk factors such as hypertension,1 as the abnormal shear stresses generated by the cervical arch predispose to atherosclerosis 6 16. Our patient had atherosclerosis of the aorta visualised on CT imaging and had previously had a TIA.…”

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%

“…CAA is a rare congenital vascular anomaly in which the apex of the aortic arch lies above the superior aspect of the clavicle 1. It can cause diagnostic confusion, with previous case reports of misdiagnosis 2 3…”

Section: Introductionmentioning

confidence: 99%