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An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
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Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
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Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...
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IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
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The coronary arteries, originating from the ascending aorta, bifurcate from two sinuses located within the ascending aorta. Positioned just above the aortic semilunar valve, these sinuses house essential aortic baroreceptors and chemoreceptors, crucial for maintaining cardiac function. The left coronary artery and the right coronary artery branch off from the left posterior and anterior aortic sinuses, respectively.
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Circumflex aortic arch: presentation across various age groups: a case series.

Shivang Saxena1, Ashish Katewa1, Maruti Haranal1

  • 1Department of Cardiovascular Thoracic Surgery, UN Mehta Institute of Cardiology and Research Center, Medicity, Asarwa, Ahmedabad, Gujarat 3800016 India.

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Summary

Circumflex aortic arch (CAA) is a rare congenital vascular anomaly. This condition can cause significant symptoms by compressing the trachea and esophagus, affecting patients of all ages.

Keywords:
Circumflex aortic archRetro-esophageal aortic archTracheaVascular ring

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Area of Science:

  • Cardiovascular Surgery
  • Pediatric Cardiology
  • Congenital Heart Disease

Background:

  • Circumflex aortic arch (CAA) is a rare congenital anomaly.
  • It involves the aortic arch crossing the midline posteriorly.
  • A patent ductus arteriosus (PDA) can create a complete vascular ring.

Purpose of the Study:

  • To describe the clinical experience with circumflex aortic arch.
  • To highlight presentation across different age groups.

Main Methods:

  • Case series review.
  • Analysis of three patients with CAA.

Main Results:

  • CAA can lead to tracheal and esophageal compression.
  • Symptoms can manifest at any age.
  • Three cases with CAA were analyzed across different age demographics.

Conclusions:

  • Circumflex aortic arch is a rare but significant anomaly.
  • It can present with varied symptoms and at any age.
  • Clinical vigilance is essential for timely diagnosis and management.