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The cervical aortic arch.

R Moncada, M Shannon, R Miller

    The American Journal of Roentgenology, Radium Therapy, and Nuclear Medicine
    |November 1, 1975
    PubMed
    Summary
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    Cervical aortic arch anomaly, a rare congenital condition, involves the aortic arch extending into the neck. This study adds six new cases, suggesting equal incidence of left and right cervical aortic arches and noting associated cardiac anomalies.

    Area of Science:

    • Cardiovascular Medicine
    • Congenital Anomalies
    • Medical Genetics

    Background:

    • Cervical aortic arch anomaly is a rare congenital condition characterized by the aortic arch extending into the neck.
    • Previously, only nineteen cases were reported in the literature, with a perceived lower incidence of left-sided anomalies.
    • The anatomical course involves the arch extending superiorly into soft neck tissues before descending.

    Purpose of the Study:

    • To report six additional cases of cervical aortic arch anomaly.
    • To evaluate the incidence of left versus right cervical aortic arches.
    • To identify associated cardiac anomalies in patients with cervical aortic arch.

    Main Methods:

    • Retrospective review of six cases diagnosed with cervical aortic arch anomaly.

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  • Analysis of anatomical location (left vs. right) and associated cardiovascular findings.
  • Comparison with existing literature data on prevalence and characteristics.

    • Main Results:

    • Six new cases of cervical aortic arch anomaly were identified and analyzed.
    • Four of the six cases involved a left-sided cervical aortic arch, suggesting an equal incidence with right-sided anomalies.
    • Four cases presented with concurrent cardiac anomalies, a previously unreported association.

    Conclusions:

    • The incidence of left cervical aortic arch anomaly may be equal to that of the right.
    • Cervical aortic arch anomaly can be associated with other cardiac malformations.
    • Further research is warranted to understand the embryological basis and clinical implications.