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Cervical aortic arch. A case report

U Açikel1, B Uğurlu, E Hazan

  • 1Dokuz Eylül Medical School Izmir, Turkey.

Angiology
|July 1, 1997
PubMed
Summary

Cervical aortic arch, a rare vascular anomaly, can cause symptoms like difficulty swallowing. Surgical repair with aortic reanastomosis successfully treated a symptomatic patient.

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Area of Science:

  • Cardiovascular Surgery
  • Medical Imaging
  • Anatomical Variants

Background:

  • Cervical aortic arch is a rare congenital anomaly resulting from specific embryonic aortic arch development.
  • It often presents asymptomatically, but can cause significant symptoms due to vascular ring compression.

Observation:

  • A 22-year-old woman presented with a symptomatic left cervical aortic arch.
  • Clinical signs included a pulsatile supraclavicular mass and hypertension in the right upper limb.

Findings:

  • The patient's symptoms were attributed to the vascular ring compressing adjacent structures.
  • Diagnostic imaging confirmed the cervical aortic arch anomaly.

Implications:

  • This case highlights the importance of recognizing cervical aortic arch as a cause of compressive symptoms.
  • Surgical intervention, such as aortic reanastomosis, can effectively manage symptomatic cases.
  • Understanding rare aortic arch anomalies is crucial for accurate diagnosis and treatment planning.

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