The online version of this article (doi:10.1186/1471-2261-14-104) contains supplementary material, which is available to authorized users.
The authors declare that they have no competing interests.
PJS conducted the clinical diagnosis, conceived the report and drafted the manuscript. SJW gathered patient data and helped to draft the manuscript. LCH wrote the case report and assisted in image acquisition and interpretation. Finally, PJS provided supervision and critically reviewed the manuscript. All authors gave their final acceptance to the submission of this report. All authors read and approved the final manuscript.
Right-sided aortic arch is a rare congenital defect usually diagnosed incidentally in adults; it is often asymptomatic unless aneurismal disease develops. In half the cases, an aberrant left subclavian artery arises from a Kommerell’s diverticulum; in these cases, congenital heart anomaly is very rarely present.
We report a case of incidentally-detected right-sided aortic arch with multiple vascular anomalies including left subclavian artery originating from a Kommerell’s diverticulum, supra-sinus origin of coronary arteries and coronary arteriovenous fistula.
Through comprehensive 3-dimensional reconstruction of the aortic arch and surrounding structures we defined anatomical relationships, which is useful for follow-up and treatment.
Kommerell B: Verlagerung des Oesophagus durcheine abnorm verlaufende Arteria subclavia dextra (Arteria Lusoria). Fortschr Geb Roentgenstr. 1936, 54: 590-595.
- Comprehensive three-dimensional analysis of right-sided aortic arch with multiple vascular anomalies
- BioMed Central
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