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Aortic Arch Variants and Anomalies: Embryology, Imaging Findings, and Clinical Considerations

There is a wide spectrum of congenital anomalies or variations of the aortic arch, ranging from non-symptomatic variations that are mostly detected incidentally to clinically symptomatic variations that cause severe respiratory distress or esophageal compression. Some of these may be accompanied by...

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Autores principales: Bae, Sang Bin, Kang, Eun-Ju, Choo, Ki Seok, Lee, Jongmin, Kim, Sang Hyeon, Lim, Kyoung Jae, Kwon, Heejin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Echocardiography 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9592245/
https://www.ncbi.nlm.nih.gov/pubmed/36280266
http://dx.doi.org/10.4250/jcvi.2022.0058
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author Bae, Sang Bin
Kang, Eun-Ju
Choo, Ki Seok
Lee, Jongmin
Kim, Sang Hyeon
Lim, Kyoung Jae
Kwon, Heejin
author_facet Bae, Sang Bin
Kang, Eun-Ju
Choo, Ki Seok
Lee, Jongmin
Kim, Sang Hyeon
Lim, Kyoung Jae
Kwon, Heejin
author_sort Bae, Sang Bin
collection PubMed
description There is a wide spectrum of congenital anomalies or variations of the aortic arch, ranging from non-symptomatic variations that are mostly detected incidentally to clinically symptomatic variations that cause severe respiratory distress or esophageal compression. Some of these may be accompanied by other congenital heart diseases or chromosomal anomalies. The widespread use of multidetector computed tomography (CT) in clinical practice has resulted in incidental detection of several variations of the aortic arch in adults. Thus, radiologists and clinicians should be aware of the classification of aortic arch anomalies and carefully look for imaging features associated with a high risk of clinical symptoms. Understanding the embryological development of the aortic arch aids in the classification of various subtypes of aortic arch anomalies and variants. For accurate diagnosis and precise evaluation of aortic arch anomalies, cross-sectional imaging modalities, such as multidetector CT or magnetic resonance imaging, play an important role by providing three-dimensional reconstructed images. In this review, we describe the embryological development of the thoracic aorta and discuss variations and anomalies of the aortic arch along with their clinical implications.
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spelling pubmed-95922452022-10-31 Aortic Arch Variants and Anomalies: Embryology, Imaging Findings, and Clinical Considerations Bae, Sang Bin Kang, Eun-Ju Choo, Ki Seok Lee, Jongmin Kim, Sang Hyeon Lim, Kyoung Jae Kwon, Heejin J Cardiovasc Imaging Review Article There is a wide spectrum of congenital anomalies or variations of the aortic arch, ranging from non-symptomatic variations that are mostly detected incidentally to clinically symptomatic variations that cause severe respiratory distress or esophageal compression. Some of these may be accompanied by other congenital heart diseases or chromosomal anomalies. The widespread use of multidetector computed tomography (CT) in clinical practice has resulted in incidental detection of several variations of the aortic arch in adults. Thus, radiologists and clinicians should be aware of the classification of aortic arch anomalies and carefully look for imaging features associated with a high risk of clinical symptoms. Understanding the embryological development of the aortic arch aids in the classification of various subtypes of aortic arch anomalies and variants. For accurate diagnosis and precise evaluation of aortic arch anomalies, cross-sectional imaging modalities, such as multidetector CT or magnetic resonance imaging, play an important role by providing three-dimensional reconstructed images. In this review, we describe the embryological development of the thoracic aorta and discuss variations and anomalies of the aortic arch along with their clinical implications. Korean Society of Echocardiography 2022-10 2022-08-26 /pmc/articles/PMC9592245/ /pubmed/36280266 http://dx.doi.org/10.4250/jcvi.2022.0058 Text en Copyright © 2022 Korean Society of Echocardiography https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Article
Bae, Sang Bin
Kang, Eun-Ju
Choo, Ki Seok
Lee, Jongmin
Kim, Sang Hyeon
Lim, Kyoung Jae
Kwon, Heejin
Aortic Arch Variants and Anomalies: Embryology, Imaging Findings, and Clinical Considerations
title Aortic Arch Variants and Anomalies: Embryology, Imaging Findings, and Clinical Considerations
title_full Aortic Arch Variants and Anomalies: Embryology, Imaging Findings, and Clinical Considerations
title_fullStr Aortic Arch Variants and Anomalies: Embryology, Imaging Findings, and Clinical Considerations
title_full_unstemmed Aortic Arch Variants and Anomalies: Embryology, Imaging Findings, and Clinical Considerations
title_short Aortic Arch Variants and Anomalies: Embryology, Imaging Findings, and Clinical Considerations
title_sort aortic arch variants and anomalies: embryology, imaging findings, and clinical considerations
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9592245/
https://www.ncbi.nlm.nih.gov/pubmed/36280266
http://dx.doi.org/10.4250/jcvi.2022.0058
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