PHITCHAYA MONSINTORN, M.D.

SRIAROON CHONGWATTANAPHIROM. M.D.

ADVISOR: SUTHIPONG JONGJIRASIRI, M.D.
DEPARTMENT OF DIAGNOSTIC AND THERAPEUTIC RADIOLOGY,
FACULTY OF MEDICINE, RAMATHIBODI HOSPITAL, MAHIDOL UNIVERSITY
PART 2
• Abnormalities of the 3rd aortic arch
• Abnormalities of the 5th aortic arch
• Abnormalities of the 6th aortic arch
• Pulmonary artery sling
• Ectopic origin of brachiocephalic vessels
PART 2
Abnormalities of the 3rd aortic arch
Abnormalities of the 3rd aortic arch
Cervical aortic arch

D. H. Yeom S. ECR 2012 / C-1263 / Overview of developmental anomaly of the aorta - EPOS™ [Internet]. Posterng.netkey.at. 2019 [cited 29 January 2019].
Available from: https://posterng.netkey.at/esr/viewing/index.php?module=viewing_poster&task=&pi=108507&searchkey=&scrollpos=89.33333587646484.
Abnormalities of the 3rd aortic arch
Right cervical aortic arch

Amplatz K, Moller J. Radiology of congenital heart disease. 2nd ed. St. Louis: Mosby Year Book; 1993.
Abnormalities of the 3rd aortic arch
Left cervical aortic arch

Amplatz K, Moller J. Radiology of congenital heart disease. 2nd ed. St. Louis: Mosby Year Book; 1993.
Abnormalities of the 3rd aortic arch

Cervical aortic arch

Wu V, Chen W, Wang C. Transthoracic Echocardiography Evaluation of Left Cervical Aortic Arch with Aneurysm Formation. Journal of Medical Ultrasound. 2012;20(3):180-182.
 Abnormalities of the 3rd aortic arch
Oblique indentation of
Mass density the esophagus
at right mediastinum

Left descending aorta

Long posterior indentation behind

esophagus from aorta
Right cervical aortic arch Amplatz K, Moller J. Radiology of congenital heart disease. 2nd ed. St. Louis: Mosby Year Book; 1993.
 Abnormalities of the 3rd aortic arch

Right subclavian artery

origin

Left subclavian artery

origin

Right cervical aortic arch Amplatz K, Moller J. Radiology of congenital heart disease. 2nd ed. St. Louis: Mosby Year Book; 1993.
 Abnormalities of the 3rd aortic arch
Left cervical aortic arch

Remnant of 4th aortic arch

Left cervical aortic arch Amplatz K, Moller J. Radiology of congenital heart disease. 2nd ed. St. Louis: Mosby Year Book; 1993.
Abnormalities of the 3rd aortic arch
A condition mimicking cervical aortic arch
Pseudocoarctation
Distinction from true cervical aorta
- Aortic arch on the same side as
descending aorta
- Number of brachiocephalic vessel is
normal

Amplatz K, Moller J. Radiology of congenital heart disease. 2nd ed. St. Louis: Mosby Year Book; 1993.
Abnormalities of the 5th aortic arch
Abnormalities of the 5th aortic arch

Hanneman K, Newman B, Chan F. Congenital Variants and Anomalies of the Aortic Arch. RadioGraphics. 2017;37(1):32-51.
Abnormalities of the 5th aortic arch
Double aortic arch

Coarctation of aorta

Amplatz K, Moller J. Radiology of congenital heart disease. 2nd ed. St. Louis: Mosby Year Book; 1993.
Abnormalities of the 6th aortic arch
 Abnormalities of the 6th aortic arch

• Possible abnormalities
• Proximal interruption of the 6th aortic arch
• Pulmonary artery sling

Amplatz K, Moller J. Radiology of congenital heart disease. 2nd ed. St. Louis: Mosby Year Book; 1993.
 Abnormalities of the 6th aortic arch

6th arch development Amplatz K, Moller J. Radiology of congenital heart disease. 2nd ed. St. Louis: Mosby Year Book; 1993.
 Abnormalities of the 6th aortic arch

Proximal interruption Amplatz K, Moller J. Radiology of congenital heart disease. 2nd ed. St. Louis: Mosby Year Book; 1993.
 Abnormalities of the 6th aortic arch

Proximal interruption Amplatz K, Moller J. Radiology of congenital heart disease. 2nd ed. St. Louis: Mosby Year Book; 1993.
 Abnormalities of the 6th aortic arch
Smaller left hemithorax

Mediastinal shift to the left

Proximal interruption Amplatz K, Moller J. Radiology of congenital heart disease. 2nd ed. St. Louis: Mosby Year Book; 1993.
 Abnormalities of the 6th aortic arch

Right aortic arch Smaller left hemithorax

Prominent RPA
Mediastinal shift to the left

Rib notching from enlarged

intercostal collaterals

Proximal interruption Amplatz K, Moller J. Radiology of congenital heart disease. 2nd ed. St. Louis: Mosby Year Book; 1993.
 Abnormalities of the 6th aortic arch
Right aortic arch

Rib notching

Prominent LPA

Small RPA

Proximal interruption Amplatz K, Moller J. Radiology of congenital heart disease. 2nd ed. St. Louis: Mosby Year Book; 1993.
 Abnormalities of the 6th aortic arch

Tortuous intercostal
collateral arteries
Proximal interruption Amplatz K, Moller J. Radiology of congenital heart disease. 2nd ed. St. Louis: Mosby Year Book; 1993.
 Abnormalities of the 6th aortic arch

RPA is not opacified in

pulmonary arteriogram

Proximal interruption Amplatz K, Moller J. Radiology of congenital heart disease. 2nd ed. St. Louis: Mosby Year Book; 1993.
 Abnormalities of the 6th aortic arch

Rare variation

Pulmonary artery sling Amplatz K, Moller J. Radiology of congenital heart disease. 2nd ed. St. Louis: Mosby Year Book; 1993.
 Abnormalities of the 6th aortic arch

Mediastinal mass
Tracheal shift to
the left

Pulmonary artery sling Amplatz K, Moller J. Radiology of congenital heart disease. 2nd ed. St. Louis: Mosby Year Book; 1993.
 Abnormalities of the 6th aortic arch

Trachea
Esophagus displaced
to the right

Esophagus

AP Lateral

Pulmonary artery sling Amplatz K, Moller J. Radiology of congenital heart disease. 2nd ed. St. Louis: Mosby Year Book; 1993.
 Abnormalities of the 6th aortic arch

Mediastinal mass
between trachea and
esophagus

Pulmonary artery sling Amplatz K, Moller J. Radiology of congenital heart disease. 2nd ed. St. Louis: Mosby Year Book; 1993.
 Abnormalities of the 6th aortic arch

Pulmonary artery sling Amplatz K, Moller J. Radiology of congenital heart disease. 2nd ed. St. Louis: Mosby Year Book; 1993.
Ectopic origin of brachiocephalic vessels
Ectopic origin of brachiocephalic vessels

Amplatz K, Moller J. Radiology of congenital heart disease. 2nd ed. St. Louis: Mosby Year Book; 1993.
Ectopic origin of brachiocephalic vessels

Trachea displaced
posteriorly

Tracheal narrowing

Amplatz K, Moller J. Radiology of congenital heart disease. 2nd ed. St. Louis: Mosby Year Book; 1993.
CONCLUSION

Hanneman K, Newman B, Chan F. Congenital Variants and Anomalies of the Aortic Arch. RadioGraphics. 2017;37(1):32-51.
CONCLUSION

Hanneman K, Newman B, Chan F. Congenital Variants and Anomalies of the Aortic Arch. RadioGraphics. 2017;37(1):32-51.
CONCLUSION

Hanneman K, Newman B, Chan F. Congenital Variants and Anomalies of the Aortic Arch. RadioGraphics. 2017;37(1):32-51.
 CONCLUSION
Right aortic arch with aberrant left SCA and
Double aortic arch left ductus

Hanneman K, Newman B, Chan F. Congenital Variants and Anomalies of the Aortic Arch. RadioGraphics. 2017;37(1):32-51.
CONCLUSION

Hanneman K, Newman B, Chan F. Congenital Variants and Anomalies of the Aortic Arch. RadioGraphics. 2017;37(1):32-51.