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Non-aortic vascular findings on chest CT angiogram: including arch vessels and bronchial arteries

Santhosh Poyyamoli1, Elango Swamiappan1, Jenny Gandhi1

  • 1Department of Diagnostic and Interventional Radiology, Kovai Medical Center and Hospital, Coimbatore 641014, India.

Cardiovascular Diagnosis and Therapy
|September 28, 2019
PubMed

Insights

CT angiogram (CTA) is the preferred imaging method for thoracic vascular diseases, including the aorta and pulmonary arteries. CTA provides detailed insights into pathologies and variants of these vessels and their branches.

Area of Science:

  • Radiology
  • Cardiovascular Imaging
  • Thoracic Imaging

Background:

  • CT angiogram (CTA) is the primary imaging modality for thoracic vascular pathologies.
  • It visualizes the aorta, pulmonary arteries, and their branches.
  • CTA is crucial for diagnosing conditions affecting these vessels.

Purpose of the Study:

  • To highlight the comprehensive role of CTA in evaluating thoracic vasculature.
  • To discuss the diagnostic capabilities of CTA for aortic arch branches and bronchial arteries.
  • To emphasize CTA's importance in identifying thoracic outlet vascular compression.

Main Methods:

  • Review of CTA applications in thoracic vascular imaging.
  • Analysis of CTA's role in diagnosing atherosclerosis, trauma, vasculitis, and bronchial artery pathologies.
  • Inclusion of CTA's utility in thoracic outlet syndrome assessment.

Main Results:

  • CTA offers detailed imaging of the aorta and pulmonary arteries.
  • Pathologies and variants of aortic arch branches are well-depicted.
  • Hypertrophied bronchial arteries, a source of hemoptysis, are identifiable.
  • CTA aids in diagnosing vascular compression at the thoracic outlet.

Conclusions:

  • CTA is indispensable for diagnosing a wide spectrum of thoracic vascular diseases.
  • Its application extends to detailed assessment of aortic branches and bronchial arteries.
  • Advancements in CT technology will further enhance CTA's clinical utility in thoracic vascular imaging.

Keywords:
Aortic arch branchesbronchial arteriescentral veinschest CT angiogram (chest CTA)

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