• Bmc Cardiovasc Disor · Jan 2014

    Case Reports

    Comprehensive three-dimensional analysis of right-sided aortic arch with multiple vascular anomalies.

    • Chan-Hee Lee, Jang-Won Son, and Jong-Seon Park.
    • Department of Cardiology, Yeungnam University Hospital, 170, Hyeonchungro, Nam-gu, Daegu 705-717, Korea. pjs@med.yu.ac.kr.
    • Bmc Cardiovasc Disor. 2014 Jan 1;14:104.

    BackgroundRight-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.Case PresentationWe 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.ConclusionThrough comprehensive 3-dimensional reconstruction of the aortic arch and surrounding structures we defined anatomical relationships, which is useful for follow-up and treatment.

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