The Cervical Aortic Arch with Aneurysm Formation

Hirao, Koichi; Miyazaki, Atsushi; Noguchi, Manabu; Shibata, Ryuichiro; Hayashi, Kuniaki

doi:10.1097/00004728-199911000-00026

“…Recent researches suggest that a cervical aortic arch is associated with deletions in chromosome 22q11, and hence these lesions could be included in the spectrum of defects known as catch 22. This syndrome, described by Wilson and colleagues in 1993, is characterized by cardiac defects, facial dysmorphic, thymic hypoplasia, cleft palate, hypocalcaemia, and a deletion in chromosome 22 [6,7]. For our patient the decision to proceed to the intervention was made on the combination of cervical aortic arch, pseudocoarctation and the presence of saccular aneurysms, even if the patient was asymptomatic.…”

Section: Discussionmentioning

confidence: 98%

“…A cervical aortic arch develops most likely from the persistence of the third branchial arch and is complicated by aneurysm in 20% of cases [4]. Cervical aortic arch may be symptomatic; and can be revealed by chest pain [5], oppression in the neck and dizziness, but are usually asymptomatic cases [6]. Recent researches suggest that a cervical aortic arch is associated with deletions in chromosome 22q11, and hence these lesions could be included in the spectrum of defects known as catch 22.…”

Section: Discussionmentioning

confidence: 99%

Surgical Repair of a Pseudocoarctation with Cervical Aortic Arch Complicated by Multiple Aneurysms of the Aorta: A Case Report

Makani¹,

Julia²

2016

J Vasc Med Surg

3

0

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Aortic pseudocoarctation is a rare congenital anomaly characterized by elongation and deformity of the aortic arch and is known to be associated with aneurysmal formation. Several studies unite to say it leads to a surgical sanction as soon as symptomatic or associated with aneurysms of the aortic arch. Our patient is a 12 years old boy, followed since birth for a little tight pseudocoarctation with a cervical aortic arch and transverse aortic arch hypoplasia. Close clinical and paraclinical monitoring including angioscans, showed the gradual enlargement of the superior mediastinum, in relation with the appearance of three aneurysms of the aortic arch. The intervention, performed by sternotomy, has consisted of the resection of the aneurysmal area and the interposition of a Dacron tube to repair the aortic arch and the reimplantation of the left subclavian artery into the left carotid artery. The postoperative course was uneventful. Management of pseudocoarctation associated with cervical aortic arch and aneurysms remains surgical. Close monitoring of patients with pseudocorctation, seems to be essential to avoid fatal complications such as aneurysmal rupture.

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“…Recent researches suggest that a cervical aortic arch is associated with deletions in chromosome 22q11, and hence these lesions could be included in the spectrum of defects known as catch 22. This syndrome, described by Wilson and colleagues in 1993, is characterized by cardiac defects, facial dysmorphic, thymic hypoplasia, cleft palate, hypocalcaemia, and a deletion in chromosome 22 [6, 7]. For our patient the decision to proceed to the intervention was made on the combination of cervical aortic arch, pseudocoarctation and the presence of saccular aneurysms, even if the patient was asymptomatic.…”

Section: Discussionmentioning

confidence: 99%

Surgical repair of a pseudocoarctation with cervical aortic arch complicated by multiple aneurysms of the aorta: a case report

Makani¹,

Mitchell²,

Metton³

et al. 2017

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Aortic pseudocoarctation is a rare congenital anomaly characterized by elongation and deformity of the aortic arch and is known to be associated with aneurysmal formation. Several studies unite to say it leads to a surgical sanction as soon as symptomatic or associated with aneurysms of the aortic arch. Our patient is a 12 years old boy, followed since birth for a little tight pseudocoarctation with a cervical aortic arch and transverse aortic arch hypoplasia. Close clinical and paraclinical monitoring including angioscans, showed the gradual enlargement of the superior mediastinum, in relation with the appearance of three aneurysms of the aortic arch. The intervention, performed by sternotomy, has consisted of the resection of the aneurysmal area and the interposition of a Dacron tube to repair the aortic arch and the reimplantation of the left subclavian artery into the left carotid artery. The postoperative course was uneventful. Management of pseudocoarctation associated with cervical aortic arch and aneurysms remains surgical. Close monitoring of patients with pseudocorctation, seems to be essential to avoid fatal complications such as aneurysmal rupture.

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“…Tsukamoto et al described repair of LCAA aneurysm with LSA aneurysm and coarctation [10] and Imai et al reported reconstruction with interposition graft of LCAA with coarctation [11]. Hirao et al reported LCAA aneurysm which had been thought to be a mediastinal tumour [12], and Higuchi employed left thoracotomy and partial cardiopulmonary bypass through descending aorta and IVC to repair LCAA aneurysm just distal to LCCA with aberrant and tortuous LSA [13]. …”

Section: Discussionmentioning

confidence: 99%

11 cm Haughton D left cervical aortic arch aneurysm

Kaul

¹

2013

J Cardiothorac Surg

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A 56 year old Caucasian man presented with sudden loss of consciousness while driving and was found to have an 11 cm Haughton D type left cervical aortic arch aneurysm with normal brachiocephalic branching and normal descending thoracic laterality but with considerable tortuosity and redundancy of aortic arch. The aneurysm arose between the left common carotid artery and the left subclavian artery. It compressed and stretched the left common carotid artery, compressed the pulmonary trunk and the left pulmonary artery, stretched the vagus, left recurrent laryngeal and left phrenic nerves and caused extreme deviation of trachea, severely compromising the tracheal lumen. Patient underwent successful interposition graft replacement of distal aortic arch under total circulatory arrest and selective unihemispherical cerebral perfusion.

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The Cervical Aortic Arch with Aneurysm Formation

Cited by 20 publications

References 12 publications

Surgical Repair of a Pseudocoarctation with Cervical Aortic Arch Complicated by Multiple Aneurysms of the Aorta: A Case Report

Surgical Repair of a Pseudocoarctation with Cervical Aortic Arch Complicated by Multiple Aneurysms of the Aorta: A Case Report

Surgical repair of a pseudocoarctation with cervical aortic arch complicated by multiple aneurysms of the aorta: a case report

11 cm Haughton D left cervical aortic arch aneurysm

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