Right cervical aortic arch and pseudocoarctation of the aorta associated with aneurysms and steal phenomena: US, CTA, and MRA findings.
A 55-year-old woman presented with right cervical aortic arch with pseudocoarctation of the aorta further complicated by the presence of multiple aneurysms and a high-grade stenosis at the origin of the left subclavian trunk from the aorta causing a discrepancy in blood pressure between the right and left arms. The branching pattern and the resulting complex steal syndromes involving the left carotid and the subclavian system are unique. The computed tomography angiography, magnetic resonance angiography, and Doppler ultrasound findings are described.
Tanju
Sumru
S
Department of Radiology, Ankara University School of Medicine, Ibni Sina Hospital, Sihhiye 06100, Ankara, Turkey. sumrutanju@yahoo.com
Ustuner
Evren
E
Erden
Ilhan
I
Aytac
Suat Kemal
SK
D001011:Aorta / Q000000981:diagnostic imaging / Q000473:pathology; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging*; D001014:Aortic Aneurysm / Q000150:complications / Q000175:diagnosis*; D001017:Aortic Coarctation / Q000150:complications / Q000175:diagnosis*; D001027:Aortography / Q000379:methods; D001794:Blood Pressure; D003287:Contrast Media / Q000008:administration & dosage; D005221:Fatigue / Q000209:etiology; D005260:Female; D006801:Humans; D007089:Image Enhancement / Q000379:methods; D021621:Imaging, Three-Dimensional / Q000379:methods; D018810:Magnetic Resonance Angiography / Q000379:methods; D008875:Middle Aged; D018908:Muscle Weakness / Q000209:etiology; D013349:Subclavian Steal Syndrome / Q000150:complications / Q000175:diagnosis*; D014057:Tomography, X-Ray Computed / Q000379:methods; D018615:Ultrasonography, Doppler, Color / Q000379:methods; D014717:Vertigo / Q000209:etiology
D003287:Contrast Media