Variants and anomalies of thoracic vasculature on computed tomographic angiography in adults.
OBJECTIVE
To determine the prevalence and clinical significance of normal, variant, and anomalous branching patterns of the aortic arch and the central veins on computed tomographic (CT) angiography in adults.


METHODS
We retrospectively reviewed 1000 consecutive CT angiograms of the chest in 658 women and 342 men with a median age of 53 years.


RESULTS
A total of 65.9% of patients had both normal aortic arch branching patterns and normal venous anatomy. Variants in the aortic arch branching pattern were present in 32.4% and anomalies in 1.5%. Venous anomalies were present in 0.7%. Review of CT reports showed that cardiothoracic radiologists correctly reported the anomaly more frequently than other radiologists (94% vs 20%, P = 0.003).


CONCLUSIONS
Whereas anomalies of the central thoracic vasculature are uncommon, variants in the aortic arch branching pattern are common. An appreciation of the appearance of these entities on CT angiography allows for precise reporting and is useful in preprocedure planning.
Berko
Netanel S
NS
Department of Radiology, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, NY 10467, USA.
Jain
Vineet R
VR
Godelman
Alla
A
Stein
Evan G
EG
Ghosh
Subha
S
Haramati
Linda B
LB
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000792:Angiography / Q000379:methods; D001013:Aorta, Thoracic / Q000002:abnormalities* / Q000033:anatomy & histology / Q000000981:diagnostic imaging*; D001808:Blood Vessels / Q000002:abnormalities* / Q000033:anatomy & histology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed / Q000379:methods*; D054079:Vascular Malformations / Q000000981:diagnostic imaging*; D055815:Young Adult