Aortic arch interruption


The aortic arch is described as three segments: proximal, distal and isthmus. The proximal component extends from the takeoff of the innominate artery to the left common carotid artery. The distal component extends from the left common carotid artery to take-off of the left subclavian artery. The segment of the aorta connecting the distal aortic arch to the juxtaductal region of the descending aorta is termed the isthmus. This complex composite of segments introduces a risk of developmental anomalies in the form of interruptions at the various junction points. Aortic arch interruption is characterized by complete lack of anatomic continuity between the aortic arch or isthmus and the descending thoracic aorta. In aortic arch atresia, with identical pathophysiology and hemodynamics, there is anatomic continuity between the two segments, represented by an imperforate fibrous strand of various lengths.


Aortic Arch Subclavian Artery Patent Ductus Arteriosus Ventricular Septal Defect Left Ventricular Outflow Tract 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. Akdemir R, Ozhan H, Erbilen E, Yazici M, Gunduz H, Uyan C (2004) Isolated interrupted aortic arch: a case report and review of the literature. Int J Cardiovasc Imaging 20:389–392PubMedCrossRefGoogle Scholar
  2. Cinar A, Haliloglu M, Karagoz T, Karcaaltincaba M, Celiker A, Tekinalp G (2004) Interrupted aortic arch in a neonate: multidetector CT diagnosis. Pediatr Radiol 34:901–903PubMedCrossRefGoogle Scholar
  3. Corno AF, Lam J, Becker AE, Marcelletti C (1981) Aortic arch interruption. G Ital Cardiol 11:679–685PubMedGoogle Scholar
  4. Davotoglu V, Soydinc S, Sirikci A, Dinckal H, Akdemir I (2004) Interrupted aortic arch in an adolescent male. Can J Cardiol 20:1367–1368Google Scholar
  5. Dorfman AL, Geva T (2006) Magnetic resonance imaging evaluation of congenital heart disease: conotruncal anomalies. J Cardiovasc Magn Reson 8:645–659PubMedCrossRefGoogle Scholar
  6. Goo HW, Park IS, Ko JK, Kim YH, Seo DM, Yun TJ, Park JJ, Yoon CH (2003) CT of congenital heart disease: normal anatomy and typical pathologic conditions. Radiographics 23:S147–S165PubMedCrossRefGoogle Scholar
  7. Johnson TR, Goldmuntz E, McDonald-McGinn DM, Zackai EH, Fogel MA (2005) Cardiac magnetic resonance imaging for accurate diagnosis of aortic arch anomalies in patients with 22q11.2 deletion. Am J Cardiol 96:1726–1730PubMedCrossRefGoogle Scholar
  8. Maier JM, Scheffold N, Cyran J (2005) Primary diagnosis of an interrupted aortic arch in a 65-year old woman with hypertension. Dtsch Med Wochenschr 130:2893–2895PubMedCrossRefGoogle Scholar
  9. Morriss J, Moreland J, Burkhart H, Kao S (2007) Presurgical evaluation of interrupted aortic arch with 3-dimensional reconstruction of CT images. Ann Thorac Surg 84:299PubMedCrossRefGoogle Scholar
  10. Taylor AM, Jones R, Derrick G (2006) Post-mortem magnetic resonance imaging provides the diagnosis following aortic rupture in an infant with treated aortic interruption. Cardiol Young 16:81–83PubMedCrossRefGoogle Scholar
  11. Vriend JW, Lam J, Mulder BJ (2004) Complete aortic arch obstruction: interruption or aortic coarctation? Int J Cardiovasc Imaging 20:393–396PubMedCrossRefGoogle Scholar
  12. Yoo SJ, Choi HY, Park IS, Hong MG, Kim SH (1991) Distal aortopulmonary window with aortic origin of the right pulmonary artery and interruption of the aortic arch (Berry syndrome): diagnosis by MR imaging. Am J Roentgenol 157:835–836Google Scholar
  13. Wong MN, Chang LG, Sim KH (2007) Interrupted aortic arch and aortopulmonary window demonstrated on 64-slice multidetector computed tomography angiography. Heart 93:95PubMedCrossRefGoogle Scholar

Copyright information

© Steinkopff Verlag 2009

Personalised recommendations