EURORAD ESR

Case 12967

Double Aortic Arch: An Incidental or Sinister Finding

Author(s)
Shoubhi Bhatnagar, Digish Shah

19, ANUPAM SOCIETY 390007 VADODARA, India; Email:digishdr@gmail.com
 
Patient
female, 60 year(s)
 
 
  • Figure 1
    Chest Radiograph
     

    Frontal chest radiograph depicts widening of the superior mediastinum with prominence and calcification of the aortic knob. Lateral view reveals anterior displacement of the trachea with retrotracheal soft tissue...

     
    Area of Interest: Cardiovascular system; Imaging Technique: Conventional radiography; Procedure: Education; Special Focus: Congenital;

    Frontal chest radiograph depicts widening of the superior mediastinum with prominence and calcification of the aortic knob. Lateral view reveals anterior displacement of the trachea with retrotracheal soft tissue...

     
    Area of Interest: Cardiovascular system; Imaging Technique: Conventional radiography; Procedure: Education; Special Focus: Congenital;
     
     
  • Figure 2
    Barium Swallow
     

    Barium swallow, frontal and lateral views, show extrinsic impressions over upper thoracic oesophagus. Lateral view demonstrates impressions along the anterior and posterior walls of esophagus.

     
    Area of Interest: Cardiovascular system; Imaging Technique: Fluoroscopy; Procedure: Dynamic swallowing studies; Special Focus: Congenital;

    Barium swallow, frontal and lateral views, show extrinsic impressions over upper thoracic oesophagus. Lateral view demonstrates impressions along the anterior and posterior walls of oesophagus.

     
    Area of Interest: Cardiovascular system; Imaging Technique: Fluoroscopy; Procedure: Dynamic swallowing studies; Special Focus: Congenital;
     
     
  • Figure 3
    MRI
     

    Image A normal origin aorta Image B and C bifurcation of the ascending aorta. Image D double aortic arches Image E anomalous right arch merging with the left arch . Image F thoracic aorta.

     
    Area of Interest: Cardiovascular system; Imaging Technique: MR; Procedure: Education; Special Focus: Congenital;

    Image A normal origin aorta Image B and C bifurcation of the ascending aorta. Image D double aortic arches Image E anomalous right arch merging with the left arch . Image F thoracic aorta.

     
    Area of Interest: Cardiovascular system; Imaging Technique: MR; Procedure: Education; Special Focus: Congenital;

    Image A normal origin aorta Image B and C bifurcation of the ascending aorta. Image D double aortic arches Image E anomalous right arch merging with the left arch . Image F thoracic aorta.

     
    Area of Interest: Cardiovascular system; Imaging Technique: MR; Procedure: Education; Special Focus: Congenital;

    Image A normal origin aorta Image B and C bifurcation of the ascending aorta. Image D double aortic arches Image E anomalous right arch merging with the left arch . Image F thoracic aorta.

     
    Area of Interest: Cardiovascular system; Imaging Technique: MR; Procedure: Education; Special Focus: Congenital;

    Image A normal origin aorta Image B and C bifurcation of the ascending aorta. Image D double aortic arches Image E anomalous right arch merging with the left arch . Image F thoracic aorta.

     
    Area of Interest: Cardiovascular system; Imaging Technique: MR; Procedure: Education; Special Focus: Congenital;

    Image A normal origin aorta Image B and C bifurcation of the ascending aorta. Image D double aortic arches Image E anomalous right arch merging with the left arch . Image F thoracic aorta.

     
    Area of Interest: Cardiovascular system; Imaging Technique: MR; Procedure: Education; Special Focus: Congenital;
     
     
  • Figure 4
    Axial MIP

    Axial MR image depicts two patent aortic arches completely encircling both trachea and oesophagus.

     
    Area of Interest: Arteries / Aorta; Imaging Technique: MR; Procedure: Education; Special Focus: Congenital;
     
     
Frontal chest radiograph depicts widening of the superior mediastinum with prominence and calcification of the aortic knob. Lateral view reveals anterior displacement of the trachea with retrotracheal soft tissue density (red arrow)
 
Frontal chest radiograph depicts widening of the superior mediastinum with prominence and calcification of the aortic knob. Lateral view reveals anterior displacement of the trachea with retrotracheal soft tissue density (red arrow)
 
Barium swallow, frontal and lateral views, show extrinsic impressions over upper thoracic oesophagus. Lateral view demonstrates impressions along the anterior and posterior walls of esophagus.
 
Barium swallow, frontal and lateral views, show extrinsic impressions over upper thoracic oesophagus. Lateral view demonstrates impressions along the anterior and posterior walls of oesophagus.
 
Image A normal origin aorta Image B and C bifurcation of the ascending aorta. Image D double aortic arches Image E anomalous right arch merging with the left arch . Image F thoracic aorta.
 
Image A normal origin aorta Image B and C bifurcation of the ascending aorta. Image D double aortic arches Image E anomalous right arch merging with the left arch . Image F thoracic aorta.
 
Image A normal origin aorta Image B and C bifurcation of the ascending aorta. Image D double aortic arches Image E anomalous right arch merging with the left arch . Image F thoracic aorta.
 
Image A normal origin aorta Image B and C bifurcation of the ascending aorta. Image D double aortic arches Image E anomalous right arch merging with the left arch . Image F thoracic aorta.
 
Image A normal origin aorta Image B and C bifurcation of the ascending aorta. Image D double aortic arches Image E anomalous right arch merging with the left arch . Image F thoracic aorta.
 
Image A normal origin aorta Image B and C bifurcation of the ascending aorta. Image D double aortic arches Image E anomalous right arch merging with the left arch . Image F thoracic aorta.
 
Axial MR image depicts two patent aortic arches completely encircling both trachea and oesophagus.
 
 
 
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