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Left-sided cervical aortic arch associated with pseudocoarctation, aneurysm formation, and anomalous left

Nabil J Khoury1, Roula Hourani, Ghina A Birjawi

  • 1Department of Diagnostic Radiology, American University of Beirut Medical Center, Beirut, Lebanon.

Journal of Thoracic Imaging
|August 30, 2008
PubMed

Insights

Cervical aortic arch (CAA), a rare congenital anomaly, can present with aneurysm and pseudocoarctation. This case report details an extremely rare combination of CAA with these conditions and a novel associated venous anomaly.

Area of Science:

  • Cardiovascular Medicine
  • Medical Imaging
  • Congenital Anomalies

Background:

  • Cervical aortic arch (CAA) is a rare congenital anomaly of the aorta.
  • CAA can be associated with various cardiovascular abnormalities, including aortic aneurysms and pseudocoarctation.
  • The combined occurrence of CAA with both aneurysm and pseudocoarctation is exceptionally rare.

Observation:

  • This report presents a unique case of cervical aortic arch (CAA).
  • The patient exhibited a rare combination of aortic aneurysm and pseudocoarctation.
  • An anomalous subaortic left brachiocephalic vein, not previously linked to CAA, was also identified.

Findings:

  • Multidetector computed tomography (MDCT) and magnetic resonance angiography (MRA) were used for imaging.
  • Radiographic findings confirmed the cervical aortic arch, aneurysm, and pseudocoarctation.
  • The anomalous venous structure was visualized and documented.

Implications:

  • This case expands the spectrum of known cardiovascular abnormalities associated with CAA.
  • The findings highlight the importance of comprehensive imaging in diagnosing complex congenital aortic anomalies.
  • The description of a novel venous anomaly associated with CAA may prompt further research into embryological development and clinical correlations.

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