Variant of the aortic arch

Rechts deszendierende Aorta im Thoraxbild

Rechts

deszendierende Aorta im Thoraxbild

Wikipedia • CC BY-SA 4.0

Rechts deszendierende Aorta im Röntgenbild

Rechts

deszendierende Aorta im Röntgenbild

Wikipedia • CC BY-SA 4.0

Angeborene Anomalie des Aortenbogens mit Gabelung der aufsteigenden Aorta; Jeder der Äste verläuft über den jeweiligen Bronchus und sie vereinigen sich hinter der Speiseröhre zur absteigenden Brustaorta.

Angeborene

Anomalie des Aortenbogens mit Gabelung der aufsteigenden Aorta; Jeder der Äste verläuft über den jeweiligen Bronchus und sie vereinigen sich hinter der Speiseröhre zur absteigenden Brustaorta.

Wikipedia • CC BY-SA 3.0

Double aortic arch • Double aortic arch - Ganzer Fall bei Radiopaedia

Double aortic

arch • Double aortic arch - Ganzer Fall bei Radiopaedia

Radswiki T, Double aortic arch. Case study, Radiopaedia.org (Accessed on 01 Apr 2023) https://doi.org/10.53347/rID-11370 • CC by-nc-sa 3.0 (modified)

Computed tomography in the evaluation of vascular rings and slings. Aneurysm of an aberrant right subclavian artery. a Axial CT scan shows a large aneurysm with partial thrombosis (arrow) at the origin of an aberrant right subclavian artery in a patient with a left aortic arch. b Coronal CT reformatted image in the same patient shows the partially thrombosed aneurysm (arrow) at the origin of an aberrant right subclavian artery

Computed

tomography in the evaluation of vascular rings and slings. Aneurysm of an aberrant right subclavian artery. a Axial CT scan shows a large aneurysm with partial thrombosis (arrow) at the origin of an aberrant right subclavian artery in a patient with a left aortic arch. b Coronal CT reformatted image in the same patient shows the partially thrombosed aneurysm (arrow) at the origin of an aberrant right subclavian artery

insightsimaging.springeropen.com • Open Access

Computed tomography in the evaluation of vascular rings and slings. Left aortic arch with an aberrant right subclavian artery. a Illustration showing the appearances of a left aortic arch (arrow) with an aberrant right subclavian (RSC) artery. The first branch from the arch is the right common carotid (RCC) artery, followed by the left common carotid (LCC) artery and then the left subclavian (LSC) artery. The right subclavian (RSC) artery has an aberrant origin as the last branch originating from the proximal descending thoracic aorta and has a retroesophageal (E) course to reach the right side. b Axial CT scan shows an aberrant right subclavian artery (arrow) originating from the proximal descending thoracic aorta and has a retroesophageal course to reach the right. Posterior indentation and compression of oesophagus are seen. c Coronal MIP image demonstrates the aberrant right subclavian artery (arrow) originating from the proximal descending aorta and reaching the right. Normal left subclavian artery (arrowhead) is also seen. d Coronal reconstructed 3D volume-rendered image shows the aberrant right subclavian artery (arrow) originating from the proximal descending thoracic aorta (*) and coursing to the right behind the oesophagus, which is compressed

Computed

tomography in the evaluation of vascular rings and slings. Left aortic arch with an aberrant right subclavian artery. a Illustration showing the appearances of a left aortic arch (arrow) with an aberrant right subclavian (RSC) artery. The first branch from the arch is the right common carotid (RCC) artery, followed by the left common carotid (LCC) artery and then the left subclavian (LSC) artery. The right subclavian (RSC) artery has an aberrant origin as the last branch originating from the proximal descending thoracic aorta and has a retroesophageal (E) course to reach the right side. b Axial CT scan shows an aberrant right subclavian artery (arrow) originating from the proximal descending thoracic aorta and has a retroesophageal course to reach the right. Posterior indentation and compression of oesophagus are seen. c Coronal MIP image demonstrates the aberrant right subclavian artery (arrow) originating from the proximal descending aorta and reaching the right. Normal left subclavian artery (arrowhead) is also seen. d Coronal reconstructed 3D volume-rendered image shows the aberrant right subclavian artery (arrow) originating from the proximal descending thoracic aorta (*) and coursing to the right behind the oesophagus, which is compressed

insightsimaging.springeropen.com • Open Access

Computed tomography in the evaluation of vascular rings and slings. Circumflex right aortic arch. a Axial CT image shows a right aortic arch (arrow), which extends behind the oesophagus to reach the side. b Axial CT image at a lower level shows the arch has now reached the right (arrow) and continues as the descending aorta on the left. c Axial CT image at a lower level shows the left descending thoracic aorta (arrow)

Computed

tomography in the evaluation of vascular rings and slings. Circumflex right aortic arch. a Axial CT image shows a right aortic arch (arrow), which extends behind the oesophagus to reach the side. b Axial CT image at a lower level shows the arch has now reached the right (arrow) and continues as the descending aorta on the left. c Axial CT image at a lower level shows the left descending thoracic aorta (arrow)

insightsimaging.springeropen.com • Open Access

Computed tomography in the evaluation of vascular rings and slings. Right arch with mirror image branching and a left ductus arteriosus. a Schematic illustration of a right aortic arch with mirror image branching shows a left brachiocephalic artery giving a branch to the left common carotid and left subclavian arteries. b Coronal MIP image and c Volume-rendered 3D image in a patient with a right aortic arch (A) and mirror image branching pattern show a patent ductus arteriosus (white arrow) extending from the left brachiocephalic (L BC) artery to the left pulmonary artery (L PA) forming a ring

Computed

tomography in the evaluation of vascular rings and slings. Right arch with mirror image branching and a left ductus arteriosus. a Schematic illustration of a right aortic arch with mirror image branching shows a left brachiocephalic artery giving a branch to the left common carotid and left subclavian arteries. b Coronal MIP image and c Volume-rendered 3D image in a patient with a right aortic arch (A) and mirror image branching pattern show a patent ductus arteriosus (white arrow) extending from the left brachiocephalic (L BC) artery to the left pulmonary artery (L PA) forming a ring

insightsimaging.springeropen.com • Open Access

Computed tomography in the evaluation of vascular rings and slings. Right aortic arch with Kommerell’s diverticulum. a Illustration of a right aortic arch (black arrow) with a prominent Kommerell diverticulum (white arrow) in the proximal descending thoracic aorta (*), compressing the oesophagus (E). b Axial CT scan shows a right aortic arch (arrow) with a large Kommerell diverticulum (arrowhead) compressing the posterior oesophagus. c Coronal MIP image demonstrates a right aortic arch (arrow) and prominent Kommerell diverticulum (arrowhead) in the proximal descending thoracic aorta (*). d Reconstructed 3D volume-rendered image exquisitely demonstrates the right aortic arch (arrow) with a large Kommerell diverticulum (*) giving off the retroesophageal aberrant left subclavian artery (arrowhead). e Coronal CT image shows airway narrowing (arrow) caused by the vascular ring

Computed

tomography in the evaluation of vascular rings and slings. Right aortic arch with Kommerell’s diverticulum. a Illustration of a right aortic arch (black arrow) with a prominent Kommerell diverticulum (white arrow) in the proximal descending thoracic aorta (*), compressing the oesophagus (E). b Axial CT scan shows a right aortic arch (arrow) with a large Kommerell diverticulum (arrowhead) compressing the posterior oesophagus. c Coronal MIP image demonstrates a right aortic arch (arrow) and prominent Kommerell diverticulum (arrowhead) in the proximal descending thoracic aorta (*). d Reconstructed 3D volume-rendered image exquisitely demonstrates the right aortic arch (arrow) with a large Kommerell diverticulum (*) giving off the retroesophageal aberrant left subclavian artery (arrowhead). e Coronal CT image shows airway narrowing (arrow) caused by the vascular ring

insightsimaging.springeropen.com • Open Access

Computed tomography in the evaluation of vascular rings and slings. Post-surgical changes of double aortic arch repair. Postoperative sagittal 3D volume-rendered image demonstrates separation of the nondominant left aortic arch (arrow) from the descending aorta and surgical interruption of the complete vascular ring

Computed

tomography in the evaluation of vascular rings and slings. Post-surgical changes of double aortic arch repair. Postoperative sagittal 3D volume-rendered image demonstrates separation of the nondominant left aortic arch (arrow) from the descending aorta and surgical interruption of the complete vascular ring

insightsimaging.springeropen.com • Open Access

Computed tomography in the evaluation of vascular rings and slings. Double aortic arch. a Illustration showing the appearances of a double aortic arch, with a dominant right arch. The right arch gives off the right subclavian (RSC) and right common carotid (RCC) branches, while the left arch gives off the left subclavian (LSC) and left common carotid (LCC) arteries. Both the trachea and oesophagus are completely encircled and compressed by the vascular ring. b Axial CT scan shows the four-vessel sign. The first branch is the right subclavian (RSC) artery, the second is the right common carotid artery (RCC), the third is the left common carotid (LCC) artery and the fourth is the left subclavian (LSC) artery. c Axial MIP image shows bilateral aortic arches encircling the trachea and oesophagus. The right aortic arch (arrow) is larger than the left aortic arch (arrowhead). d Coronal reconstructed CT image at the level of the trachea shows a larger right arch (long arrow) and a smaller left arch (smaller arrow) encircling the trachea (asterisk). e Coronal MIP CT image at the level of the trachea shows similar-sized double arches in another patient (arrows). f 3D volume-rendered image exquisitely demonstrates the double aortic arch, with a dominant right arch (arrow) and a smaller left arch (arrowhead), both of which join the descending thoracic aorta (*), which is located on the left. g 3D volume-rendered image in another patient (same patient as e) demonstrates the double aortic arch, with similar sizes of the right arch (arrow) and the left arch (arrowhead), both of which join the descending thoracic aorta (*), which is located on the left. h Coronal volume-rendered image of the airway shows severe narrowing of the airway (arrow) by the double aortic arch

Computed

tomography in the evaluation of vascular rings and slings. Double aortic arch. a Illustration showing the appearances of a double aortic arch, with a dominant right arch. The right arch gives off the right subclavian (RSC) and right common carotid (RCC) branches, while the left arch gives off the left subclavian (LSC) and left common carotid (LCC) arteries. Both the trachea and oesophagus are completely encircled and compressed by the vascular ring. b Axial CT scan shows the four-vessel sign. The first branch is the right subclavian (RSC) artery, the second is the right common carotid artery (RCC), the third is the left common carotid (LCC) artery and the fourth is the left subclavian (LSC) artery. c Axial MIP image shows bilateral aortic arches encircling the trachea and oesophagus. The right aortic arch (arrow) is larger than the left aortic arch (arrowhead). d Coronal reconstructed CT image at the level of the trachea shows a larger right arch (long arrow) and a smaller left arch (smaller arrow) encircling the trachea (asterisk). e Coronal MIP CT image at the level of the trachea shows similar-sized double arches in another patient (arrows). f 3D volume-rendered image exquisitely demonstrates the double aortic arch, with a dominant right arch (arrow) and a smaller left arch (arrowhead), both of which join the descending thoracic aorta (*), which is located on the left. g 3D volume-rendered image in another patient (same patient as e) demonstrates the double aortic arch, with similar sizes of the right arch (arrow) and the left arch (arrowhead), both of which join the descending thoracic aorta (*), which is located on the left. h Coronal volume-rendered image of the airway shows severe narrowing of the airway (arrow) by the double aortic arch

insightsimaging.springeropen.com • Open Access

Computed tomography in the evaluation of vascular rings and slings. Anomalous innominate artery. a Schematic illustration shows an anomalous course of an innominate artery originating more posterior and to the left than normal, coursing to the right anterior to the trachea. b Axial CT image shows a dilated innominate artery (arrow) compressing the anterior trachea. c Sagittal reformatted MinIP (minimal intensity projection) image shows indentation of the anterior aspect of the trachea (arrowhead) by a dilated anomalous innominate artery (black arrow)

Computed

tomography in the evaluation of vascular rings and slings. Anomalous innominate artery. a Schematic illustration shows an anomalous course of an innominate artery originating more posterior and to the left than normal, coursing to the right anterior to the trachea. b Axial CT image shows a dilated innominate artery (arrow) compressing the anterior trachea. c Sagittal reformatted MinIP (minimal intensity projection) image shows indentation of the anterior aspect of the trachea (arrowhead) by a dilated anomalous innominate artery (black arrow)

insightsimaging.springeropen.com • Open Access

Computed tomography in the evaluation of vascular rings and slings. Double aortic arch with an atretic left arch. a and b Axial CT scan images show bilateral aortic arches. The right aortic arch is dominant (arrow). The left aortic arch is atretic (arrowhead). c 3D volume-rendered image demonstrates the double aortic arch. The dominant right aortic arch (arrow) gives off the right subclavian and right common carotid branches, while the left atretic aortic arch gives off the left common carotid and left subclavian arteries proximal to the atretic region (arrowhead). Only the right aortic arch joins the descending aorta (*). d Virtual bronchoscopy demonstrates severe narrowing of the airway by the double aortic arch with atretic left arch

Computed

tomography in the evaluation of vascular rings and slings. Double aortic arch with an atretic left arch. a and b Axial CT scan images show bilateral aortic arches. The right aortic arch is dominant (arrow). The left aortic arch is atretic (arrowhead). c 3D volume-rendered image demonstrates the double aortic arch. The dominant right aortic arch (arrow) gives off the right subclavian and right common carotid branches, while the left atretic aortic arch gives off the left common carotid and left subclavian arteries proximal to the atretic region (arrowhead). Only the right aortic arch joins the descending aorta (*). d Virtual bronchoscopy demonstrates severe narrowing of the airway by the double aortic arch with atretic left arch

insightsimaging.springeropen.com • Open Access

Absence of Both Common Carotid Arteries: A Rare Aortic Arch Branching Anomaly. Sagittal maximum intensity projection demonstrates the separate origins of the external carotid arteries

Absence of

Both Common Carotid Arteries: A Rare Aortic Arch Branching Anomaly. Sagittal maximum intensity projection demonstrates the separate origins of the external carotid arteries

www.eurorad.org • CC by-nc-sa-4.0

Absence of Both Common Carotid Arteries: A Rare Aortic Arch Branching Anomaly. Coronal maximum intensity projection demonstrates the separate origins of the external carotid arteries

Absence of

Both Common Carotid Arteries: A Rare Aortic Arch Branching Anomaly. Coronal maximum intensity projection demonstrates the separate origins of the external carotid arteries

www.eurorad.org • CC by-nc-sa-4.0

Abgang der linken A. carotis communis aus dem Truncus brachiocephalicus im Sinne eines so genannten Truncus bicaroticus. Volumen rendering aus einer CT-Angiographie. "Bovine arch". Beim so genannten "true bovine arch" geht auch noch die links A. subclavia mit gemeinsam ab.

Abgang der

linken A. carotis communis aus dem Truncus brachiocephalicus im Sinne eines so genannten Truncus bicaroticus. Volumen rendering aus einer CT-Angiographie. "Bovine arch". Beim so genannten "true bovine arch" geht auch noch die links A. subclavia mit gemeinsam ab.

Wikipedia • CC BY-SA 3.0

Variant anatomy of the aortic arch • Aberrant right subclavian artery - Ganzer Fall bei Radiopaedia

Variant

anatomy of the aortic arch • Aberrant right subclavian artery - Ganzer Fall bei Radiopaedia

Anan R, Aberrant right subclavian artery. Case study, Radiopaedia.org (Accessed on 01 Apr 2023) https://doi.org/10.53347/rID-149790 • CC by-nc-sa 3.0 (modified)

Absence of Both Common Carotid Arteries: A Rare Aortic Arch Branching Anomaly. Axial CT thorax demonstrates the \"six vessel\" sign of bilateral separate internal and external carotid artery origins.

Absence of

Both Common Carotid Arteries: A Rare Aortic Arch Branching Anomaly. Axial CT thorax demonstrates the \"six vessel\" sign of bilateral separate internal and external carotid artery origins.

www.eurorad.org • CC by-nc-sa-4.0

Double aortic arch • Development of double aortic arch (illustration) - Ganzer Fall bei Radiopaedia

Double aortic

arch • Development of double aortic arch (illustration) - Ganzer Fall bei Radiopaedia

Tatco V, Development of double aortic arch (illustration). Case study, Radiopaedia.org (Accessed on 01 Apr 2023) https://doi.org/10.53347/rID-63612 • CC by-nc-sa 3.0 (modified)

Computed tomography in the evaluation of vascular rings and slings. Development of the aorta and branch vessels. a Illustration showing the schematic development of the aorta and arch branch vessels from six pairs of aortic arches. Please note that the six arches are never seen together in the foetus, since they develop and regress in a craniocaudal direction. Also, the fifth arch is not present in most foetuses. b Illustration showing the fully developed normal left aortic arch and branch vessels, with corresponding colour codes. a The left arch between the left common carotid and left subclavian (red) is derived from the left fourth arch (red). The ventral aorta (purple) forms the ascending aorta and the right brachiocephalic trunk while the dorsal aorta (green) forms the descending thoracic aorta. The left subclavian artery is derived from the left seventh intersegmental artery (brown), while the right subclavian artery is derived proximally from the right fourth arch (red), in the mid portion from the right dorsal aorta (green) and the distal portion from the right seventh intersegmental artery (brown). The aortic root and main pulmonary artery are derived from division of the truncus arteriosus (pink). The ductus arteriosus (blue) is formed from the dorsal portion of the left sixth arch, while the right and left pulmonary arteries are derived from ventral portions of the right and left sixth arches (yellow) respectively. Common carotid arteries are derived from the third arches (orange), while internal carotid arteries are formed from the third arches (orange) and the dorsal aorta (green). External carotid arteries are derived from the third arch branches (black)

Computed

tomography in the evaluation of vascular rings and slings. Development of the aorta and branch vessels. a Illustration showing the schematic development of the aorta and arch branch vessels from six pairs of aortic arches. Please note that the six arches are never seen together in the foetus, since they develop and regress in a craniocaudal direction. Also, the fifth arch is not present in most foetuses. b Illustration showing the fully developed normal left aortic arch and branch vessels, with corresponding colour codes. a The left arch between the left common carotid and left subclavian (red) is derived from the left fourth arch (red). The ventral aorta (purple) forms the ascending aorta and the right brachiocephalic trunk while the dorsal aorta (green) forms the descending thoracic aorta. The left subclavian artery is derived from the left seventh intersegmental artery (brown), while the right subclavian artery is derived proximally from the right fourth arch (red), in the mid portion from the right dorsal aorta (green) and the distal portion from the right seventh intersegmental artery (brown). The aortic root and main pulmonary artery are derived from division of the truncus arteriosus (pink). The ductus arteriosus (blue) is formed from the dorsal portion of the left sixth arch, while the right and left pulmonary arteries are derived from ventral portions of the right and left sixth arches (yellow) respectively. Common carotid arteries are derived from the third arches (orange), while internal carotid arteries are formed from the third arches (orange) and the dorsal aorta (green). External carotid arteries are derived from the third arch branches (black)

insightsimaging.springeropen.com • Open Access

Variant anatomy of the aortic arch • Right sided aortic arch - Ganzer Fall bei Radiopaedia

Variant

anatomy of the aortic arch • Right sided aortic arch - Ganzer Fall bei Radiopaedia

Niknejad M, Right sided aortic arch. Case study, Radiopaedia.org (Accessed on 01 Apr 2023) https://doi.org/10.53347/rID-22162 • CC by-nc-sa 3.0 (modified)

Variant anatomy of the aortic arch • Right aortic arch with aberrant left subclavian artery - Ganzer Fall bei Radiopaedia

Variant

anatomy of the aortic arch • Right aortic arch with aberrant left subclavian artery - Ganzer Fall bei Radiopaedia

Salam H, Right aortic arch with aberrant left subclavian artery. Case study, Radiopaedia.org (Accessed on 01 Apr 2023) https://doi.org/10.53347/rID-8479 • CC by-nc-sa 3.0 (modified)

Vertebral artery • Pseudocoarctation of aorta and aberrant origin of left vertebral artery - Ganzer Fall bei Radiopaedia

Vertebral

artery • Pseudocoarctation of aorta and aberrant origin of left vertebral artery - Ganzer Fall bei Radiopaedia

Thakur A, Pseudocoarctation of aorta and aberrant origin of left vertebral artery. Case study, Radiopaedia.org (Accessed on 19 Nov 2022) https://doi.org/10.53347/rID-86565 • CC by-nc-sa 3.0 (modified)

Variant anatomy of the aortic arch • Right sided aortic arch with Kommerell diverticulum - Ganzer Fall bei Radiopaedia

Variant

anatomy of the aortic arch • Right sided aortic arch with Kommerell diverticulum - Ganzer Fall bei Radiopaedia

Di Muzio B, Right sided aortic arch with Kommerell diverticulum. Case study, Radiopaedia.org (Accessed on 01 Apr 2023) https://doi.org/10.53347/rID-17205 • CC by-nc-sa 3.0 (modified)

Variant anatomy of the aortic arch • Right arch with aberrant left subclavian artery - Ganzer Fall bei Radiopaedia

Variant

anatomy of the aortic arch • Right arch with aberrant left subclavian artery - Ganzer Fall bei Radiopaedia

Kuok Y, Right arch with aberrant left subclavian artery. Case study, Radiopaedia.org (Accessed on 01 Apr 2023) https://doi.org/10.53347/rID-17257 • CC by-nc-sa 3.0 (modified)

Thyroid gland • Bovine arch with thyroidea ima artery - Ganzer Fall bei Radiopaedia

Thyroid gland

• Bovine arch with thyroidea ima artery - Ganzer Fall bei Radiopaedia

Knipe, H. Bovine arch with thyroidea ima artery. Case study, Radiopaedia.org. (accessed on 23 Oct 2022) https://doi.org/10.53347/rID-25226 • CC by-nc-sa 3.0 (modified)

Variant anatomy of the aortic arch • Left subclavian artery arising from right subclavian artery - Ganzer Fall bei Radiopaedia

Variant

anatomy of the aortic arch • Left subclavian artery arising from right subclavian artery - Ganzer Fall bei Radiopaedia

Knipe H, Left subclavian artery arising from right subclavian artery. Case study, Radiopaedia.org (Accessed on 01 Apr 2023) https://doi.org/10.53347/rID-25930 • CC by-nc-sa 3.0 (modified)

Variant anatomy of the aortic arch • Bronchial artery from aortic arch - Ganzer Fall bei Radiopaedia

Variant

anatomy of the aortic arch • Bronchial artery from aortic arch - Ganzer Fall bei Radiopaedia

Hacking C, Bronchial artery from aortic arch. Case study, Radiopaedia.org (Accessed on 01 Apr 2023) https://doi.org/10.53347/rID-37621 • CC by-nc-sa 3.0 (modified)

Variant anatomy of the aortic arch • Right-sided aortic arch with aberrant left subclavian artery - Ganzer Fall bei Radiopaedia

Variant

anatomy of the aortic arch • Right-sided aortic arch with aberrant left subclavian artery - Ganzer Fall bei Radiopaedia

Shaggah M, Right-sided aortic arch with aberrant left subclavian artery. Case study, Radiopaedia.org (Accessed on 01 Apr 2023) https://doi.org/10.53347/rID-97078 • CC by-nc-sa 3.0 (modified)

Patent ductus arteriosus • Aortic tubular hypoplasia/preductal coarctation with large patent ductus arteriosus - Ganzer Fall bei Radiopaedia

Patent ductus

arteriosus • Aortic tubular hypoplasia/preductal coarctation with large patent ductus arteriosus - Ganzer Fall bei Radiopaedia

Alayed, R. Aortic tubular hypoplasia/preductal coarctation with large patent ductus arteriosus. Case study, Radiopaedia.org. (accessed on 07 Nov 2022) https://doi.org/10.53347/rID-97904 • CC by-nc-sa 3.0 (modified)

Variant anatomy of the aortic arch • Bovine arch - illustration - Ganzer Fall bei Radiopaedia

Variant

anatomy of the aortic arch • Bovine arch - illustration - Ganzer Fall bei Radiopaedia

Gaillard F, Bovine arch - illustration. Case study, Radiopaedia.org (Accessed on 01 Apr 2023) https://doi.org/10.53347/rID-36131 • CC by-nc-sa 3.0 (modified)

Variant anatomy of the aortic arch • Incomplete double aortic arch - Ganzer Fall bei Radiopaedia

Variant

anatomy of the aortic arch • Incomplete double aortic arch - Ganzer Fall bei Radiopaedia

Ranchod A, Incomplete double aortic arch. Case study, Radiopaedia.org (Accessed on 01 Dec 2023) https://doi.org/10.53347/rID-171253 • CC by-nc-sa 3.0 (modified)

Radiopaedia • CC-by-nc-sa 3.0 • de

siehe auch

Truncus bicaroticus
Arteria lusoria
Aortenisthmusstenose
Aorta
Arteria carotis communis
Persistierender Ductus arteriosus
Abgang der linken Arteria vertebralis aus der Aorta
rechts descendierende Aorta
Normvarianten Truncus brachiocephalicus
Varianten Arteria carotis
doppelter Aortenbogen
vorderes Mediastinum
Arteria thyroidea ima
zirkumflexer retroösophagealer rechter Aortenbogen
fehlende Anlage der Arteria carotis communis beidseits
vaskuläre Ringe
Kiemenbogenarterien
right arch - left heart
Atresie der Aorta

Variant anatomy of the aortic arch occurs when there is failure of normal aortic development. It results in a number of heterogenous anomalies of the aorta and its branch vessels.

Gross anatomy

Normally, the aorta ascends in the superior mediastinum to the level of the sternal notch before arching posteriorly and descending in the left hemithorax. The arch gives off three branch vessels, the brachiocephalic (also called the innominate), left common carotid and left subclavian arteries.

Aortic development is a complex process that takes place during the third week of gestation. During development, the two dorsal aortae fuse to form the descending aorta, the ventral aortic limbs fuse to form the aortic sac, the left 4^th arch vessel becomes the aortic arch and the right 4^th arch vessel becomes atretic distally.

Variant anatomy

Common arch anomalies

When there is departure from normal development, variant anatomy occurs. Commonly, failure of normal regression of the 4^th arch vessels results in a double aortic arch or right-sided aortic arch.