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Left cervical aortic arch with aneurysm and obstruction: three-dimensional computed tomographic angiography and magnetic resonance angiographic appearance

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Abstract

Cervical arch is a rare congenital anomaly presumed to result from persistence of the third aortic arch and regression of the normal fourth arch. Rather rare is cervical aortic arch associated with aneurysm and obstruction, with eight known cases reported. Definitive diagnosis with a noninvasive imaging modality is desirable and very important to prevent the need for disaster intervention. We present two cases of a pulsatile mass in the left supraclavicular region. Three-dimensional computed tomographic angiography and magnetic resonance angiography clearly showed a left-sided cervical aortic arch (Haughton type D) with arch aneurysm and coarctation (pseudocoarctation).

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Authors and Affiliations

  1. Department of Diagnostic Radiology, Shin Kong Wu Ho-Su Memorial Hospital, National Taiwan University, Taiwan, Republic of China

    H.-Y. Chen, L.-K. Chen, C.-T. Su, C.-H. Lin, Y.-F. Tsai, C.-C. Wu, H.-L. Peng & T.-N. Lu

  2. Department of Medical Imaging, Medical College and Hospital, National Taiwan University, Taiwan, Republic of China

    S.-J. Chen

Authors
  1. H.-Y. Chen
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  2. L.-K. Chen
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  3. C.-T. Su
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  4. S.-J. Chen
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  5. C.-H. Lin
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  6. Y.-F. Tsai
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  7. C.-C. Wu
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  8. H.-L. Peng
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  9. T.-N. Lu
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Chen, HY., Chen, LK., Su, CT. et al. Left cervical aortic arch with aneurysm and obstruction: three-dimensional computed tomographic angiography and magnetic resonance angiographic appearance. Int J Cardiovasc Imaging 18, 463–468 (2002). https://doi.org/10.1023/A:1021155625397

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  • DOI: https://doi.org/10.1023/A:1021155625397

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