Advertisement

Truncus bicaroticus and arteria lusoria—a rare combination of aortic arch anomalies

  • Mohmad Muzaffar Najar
  • Mohd Ilyas
  • Gh. Mohammad Wani
  • Zubair Ahmad
  • Waseem Ahmed Sheikh
IMAGES

A 54-year-old female presented to the outpatient Department of Internal Medicine with the history of progressive mild dysphagia for past 3 to 4 months with no history of significant weight loss. She had no significant past history. Her blood pressure, heart rate, respiratory rate, and body temperature were within normal limits. The complete blood counts, hemogram, and coagulation profile were also normal. Her chest radiograph and barium swallow studies were unremarkable.

She was referred for contrast-enhanced computed tomography (CECT) of the neck and chest. The CT was performed using 64-slice Somatom Sensation (Siemens Healthcare, Germany). After the baseline non-contrast study, aortic arch anomalies (aberrant right subclavian artery and truncus bicaroticus) were suspected, and that is why CT aortogram was performed by injecting 90 ml of Iopromide (Ultravist-370) at a rate of 4 ml/s, followed by delayed venous phase to look for the esophageal lumen, neck, mediastinum, and lungs.

The...

Notes

Author contributions

It is verified that all the authors had the access to the data and role in the writing of the manuscript.

Compliance with ethical standards

No animals were used in the study. All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Conflict of interest

The authors declare that they have no conflict of interest.

Informed consent

Informed consent was obtained from all individual participants included in the study.

References

  1. 1.
    Boussouni K, Taam I, El Hankari A, Jroundi L. Arteria lusoria and truncus bicaroticus: a case report, 2016. http://www.eurorad.org/case.php?id=13571. Accessed 02 June 2016.  https://doi.org/10.1594/EURORAD/CASE.13571
  2. 2.
    Kumar S, Kumar P. Truncus bicaroticus with aberrant right subclavian artery and origin of right vertebral from right common carotid artery. Surg Radiol Anat. 2014;36:829–31.  https://doi.org/10.1007/s00276-013-1232-z.CrossRefPubMedGoogle Scholar
  3. 3.
    Schertler T, Wildermuth S, Teodorovic N, Mayer D, Marincek B, Boehm T. Visualization of congenital thoracic vascular anomalies using multi-detector row computed tomography and two- and three-dimensional post-processing. Eur J Radiol. 2007;61:97–119.CrossRefPubMedGoogle Scholar
  4. 4.
    Myers PO, Fasel JHD, Kalangos A, Gailloud P. Arteria lusoria: developmental anatomy, clinical, radiological and surgical aspects. Ann Cardiol Angeiol. 2010;59:147–54.CrossRefGoogle Scholar
  5. 5.
    Kopp R, Wizgall I, Kreuzer E, et al. Surgical and endovascular treatment of symptomatic aberrant right subclavian artery (arteria lusoria). Vascular. 2007;15:84–91.CrossRefPubMedGoogle Scholar
  6. 6.
    Southard NM, Seabrook GR, Tutton SM, et al. A unique hybrid approach to the treatment of an aberrant right subclavian artery aneurysm. Vasc Endovasc Surg. 2013;47:128–30.CrossRefGoogle Scholar

Copyright information

© Indian Association of Cardiovascular-Thoracic Surgeons 2018

Authors and Affiliations

  1. 1.Department of RadiodiagnosisSher-i-Kashmir Institute of Medical SciencesSrinagarIndia

Personalised recommendations