Silent double aortic arch coincidentally found during cardiac catheterization in elderly man.
We describe a case of an elderly man known for coronary artery disease (previous bypass surgery) hospitalized for ischemia in inferior wall. Since the operation, the patient underwent coronary angiographies. Due to the impossibility of selective engagement of left subclavian artery from femoral access, LIMA was always visualized through a right radial approach. Despite the suspicious of abnormal origin of left subclavian artery, aortic angiography was never performed. During the third angiography, the double aortic arch was coincidentally visualized by using a left Amplatz catheter. The diagnosis was confirmed by 64-slice computed tomography scan.
Department of Cardiology, Ospedale Maggiore della Carità, Eastern Piedmont University, Novara, Italy. gioel.gabrio.secco@gmail.com
Gioel G
GG
Secco
Paolo N
PN
Marino
Alessandro
A
Carriero
Giuseppe
G
De Luca
D000368:Aged; D001013:Aorta, Thoracic / Q000002:abnormalities / Q000000981:diagnostic imaging*; D001027:Aortography / Q000379:methods*; D006328:Cardiac Catheterization; D017023:Coronary Angiography; D006801:Humans; D033162:Incidental Findings; D008297:Male; D013348:Subclavian Artery / Q000002:abnormalities / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed; D054079:Vascular Malformations / Q000000981:diagnostic imaging*