Pediatric Radiology

, Volume 43, Issue 8, pp 1037–1040 | Cite as

4-D MRI flow analysis in the course of interrupted aortic arch reveals complex morphology and quantifies amount of collateral blood flow

  • Daniel HirtlerEmail author
  • Julia Geiger
  • Bernd Jung
  • Michael Markl
  • Raoul Arnold
Case Report


We present findings in a 17-year-old with interrupted aortic arch, in whom standard imaging techniques missed functional and morphological problems. Flow-sensitive four-dimensional magnetic resonance (4-D MR) enabled assessment of the complex anatomy and blood-flow characteristics in the entire aorta and direct quantification of blood flow in collateral vessels. Our findings highlight the entire morphological and functional problem of interrupted aortic arch and illustrate the potential of flow-sensitive 4-D MR for surgical planning in congenital heart disease.


Interrupted aortic arch Flow-sensitive 4-D MR Collateral blood flow Congenital heart disease 



This study was supported by Bundesministerium für Bildung und Forschung, grant No. 01EV0706.

Supplementary material

Supplemental movie 1

Flow-sensitive 4-D MRI shows 3-D blood flow dynamics of the whole aorta and the collateral vessels. Red shows blood flow to the ascending aorta and the supra-aortal vessels. Green shows collateral blood flow into the right mammarian artery. Light and dark blue: collateral flow in two major collateral vessels draining into the descending aorta. At the site of aortic arch interruption no blood flow is registered. (MPG 9786 kb)


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Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  • Daniel Hirtler
    • 1
    Email author
  • Julia Geiger
    • 2
  • Bernd Jung
    • 2
  • Michael Markl
    • 3
  • Raoul Arnold
    • 4
  1. 1.Department of Pediatric Cardiology and Congenital Heart DiseaseUniversity Hospital FreiburgFreiburgGermany
  2. 2.Department of Radiology, Medical PhysicsUniversity Hospital FreiburgFreiburgGermany
  3. 3.Departments of Radiology and Biomedical EngineeringNorthwestern UniversityChicagoUSA
  4. 4.Department of Pediatric Cardiology and Congenital Heart DiseaseUniversity Hospital HeidelbergHeidelbergGermany

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