Figure 1
PA and lateral chest X-ray
Clinical History
A scheduled abdominal operation was planned in this patient because of cholelithiasis. An abnormality of the aortic arch was found on radiological examination.
Imaging Findings
A scheduled abdominal operation was planned in this patient because of cholelithiasis.
PA and lateral chest X-ray and fluoroscopy examinations were performed, followed by native and angio-CT examination of the aortic arch (5; 7.5; 5; 4ml/sec; 18 sec delay time).
The patient did not have any symptoms related to the abnormality found.
PA and lateral chest X-ray and fluoroscopy examinations were performed, followed by native and angio-CT examination of the aortic arch (5; 7.5; 5; 4ml/sec; 18 sec delay time).
The patient did not have any symptoms related to the abnormality found.
Discussion
The upper mediastinal widening seen on the chest X-ray showed pulsation under fluoroscopy, suggesting an aortic arch malformation. Angio-CT examination confirmed a cervical type of aorta combined with coarctation and an angle within the arch in the level of the coarctation.
Differential Diagnosis List
Cervical type of aorta with coarctation
Final Diagnosis
Cervical type of aorta with coarctation
References
[1]
Gomes AS, Lois JF, George B, Alpan G, Williams RG. Congenital abnormalities of the aortic arch: MR imaging.
Radiology 1987;165:691-5. (PMID: 3685347)
[2] McLoughlin MJ, Weisbrod G, Wise DJ, Yeung HP. Computed tomography in congenital anomalies of the aortic arch and great vessels. Radiology 1981; 38:399-403. (PMID: 7455120)
[3]
Woolfson PI, Watson N, Keenan DJ, Cotter L.
Left cervical aortic arch associated with pseudocoarctation and aortic and mitral regurgitation: one-stage surgical repair.
European Journal of Cardio-Thoracic Surgery. 2001 May;19(5):726-8. (PMID: 11343964)
Case information
| URL: | https://www.eurorad.org/case/1917 |
| DOI: | 10.1594/EURORAD/CASE.1917 |
| ISSN: | 1563-4086 |
