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Aortic dissection involving an aberrant right subclavian artery: CT and MR findings
S Kawamoto1, D A Bluemke, E K Fishman
1Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins Medical Institutions, Baltimore, MD, USA.
Insights
Aortic dissection rarely involves an aberrant right subclavian artery. Early diagnosis using CT and MRI is crucial for managing this rare vascular complication.
Area of Science:
- Cardiovascular Medicine
- Radiology
- Vascular Surgery
Background:
- Aberrant right subclavian artery (ARSA) is a common congenital vascular anomaly.
- Aortic dissection is a life-threatening condition involving the aorta's inner layer.
Observation:
- Presents three rare cases of aortic dissection occurring with ARSA.
- Diagnosis was established preoperatively using computed tomography (CT) and magnetic resonance imaging (MRI).
Findings:
- Detailed description of chest radiography, CT, and MR imaging findings.
- Highlights the imaging characteristics of this rare complication.
Implications:
- Emphasizes the importance of recognizing this association for accurate diagnosis.
- Discusses the diagnostic and therapeutic implications for patient management.
- Underscores the need for vigilance in identifying rare vascular anomalies during aortic dissection workup.
Abstract:
Three cases of aortic dissection involving an aberrant right subclavian artery are presented. Preoperative diagnosis was made based on CT and MRI. The association of dissection and aberrant right subclavian artery is rarely encountered; however, the diagnostic and therapeutic implications of these associations are important. We describe the chest radiographic, CT, and MR findings of this rare complication of a relatively common congenital vascular anomaly.
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