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.

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