EURORAD ESR

Case 9603

Aberrant right subclavian artery aneurysm: oesophageal fistula

Author(s)
Luca De Paoli, Fabio Pozzi Mucelli, Cristiana Gasparini, Marta Pravato, Cova Maria

Struttura Complessa di Radiologia,
Az. Ospedaliero-Universitaria,
Ospedali Riuniti di Trieste, TRIESTE, Italy;
Email:pozzi-mucelli@libero.it
 
Patient
male, 79 year(s)
 
 
  • Figure 1
    Chest X-ray

    Important enlargement of the right side of the upper mediastinum.

     
    Area of Interest: Cardiovascular system; Imaging Technique: Digital radiography; Procedure: Diagnostic procedure; Special Focus: Aneurysms;
     
     
  • Figure 2
    Contrast enhanced MDCT
     

    Aberrant right subclavian artery aneurysm: axial image showing a dilated right subclavian artery surrounded by a large thrombus with some air bubbles.

     
    Area of Interest: Cardiovascular system; Imaging Technique: CT-Angiography; Procedure: Diagnostic procedure; Special Focus: Aneurysms;

    Aberrant right subclavian artery aneurysm: lower image showing the same findings reported in Fig. 2a.

     
    Area of Interest: Cardiovascular system; Imaging Technique: CT-Angiography; Procedure: Diagnostic procedure; Special Focus: Aneurysms;

    Aberrant right subclavian artery aneurysm: axial image in the lower part of the aneurysm which shows multiple air bubbles due to oesophageal fistula.

     
    Area of Interest: Arteries / Aorta; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Aneurysms;
     
     
  • Figure 3
    ARSA 3D anatomy (Volume Renderings)
     

    Volume rendering elaboration: antero-posterior view.

     
    Area of Interest: Cardiovascular system; Imaging Technique: CT-Angiography; Procedure: Computer Applications-3D; Special Focus: Aneurysms;

    Volume Rendering: left anterior oblique view.

     
    Area of Interest: Cardiovascular system; Imaging Technique: CT-Angiography; Procedure: Computer Applications-3D; Special Focus: Aneurysms;

    Volume rendering: right anterior oblique view.

     
    Area of Interest: Cardiovascular system; Imaging Technique: CT-Angiography; Procedure: Computer Applications-3D; Special Focus: Aneurysms;

    Volume rendering: craniocaudal view.

     
    Area of Interest: Cardiovascular system; Imaging Technique: CT-Angiography; Procedure: Computer Applications-3D; Special Focus: Aneurysms;
     
     
Important enlargement of the right side of the upper mediastinum.
 
Aberrant right subclavian artery aneurysm: axial image showing a dilated right subclavian artery surrounded by a large thrombus with some air bubbles.
 
Aberrant right subclavian artery aneurysm: lower image showing the same findings reported in Fig. 2a.
 
Aberrant right subclavian artery aneurysm: axial image in the lower part of the aneurysm which shows multiple air bubbles due to oesophageal fistula.
 
Volume rendering elaboration: antero-posterior view.
 
Volume Rendering: left anterior oblique view.
 
Volume rendering: right anterior oblique view.
 
Volume rendering: craniocaudal view.
 
 
 
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