Transesophageal Echocardiographic Diagnosis of Right-Sided Aortic Arch
Corresponding Author
NAVIN C. NANDA M.D.
Division of Cardiovascular Disease, University of Alabama at Birmingham, Birmingham, Alabama
Address for correspondence and reprints: Navin C. Nanda, M.D., University of Alabama at Birmingham, Heart Station SW/S102, Birmingham, AL 35233. Fax: 205–934–6747.Search for more papers by this authorADITYA K. SAMAL M.D.
Division of Cardiovascular Disease, University of Alabama at Birmingham, Birmingham, Alabama
Search for more papers by this authorSTEVE BAKIR M.D.
Division of Cardiovascular Disease, University of Alabama at Birmingham, Birmingham, Alabama
Search for more papers by this authorMOHAMMED MOURSI M.D.
Division of Cardiovascular Disease, University of Alabama at Birmingham, Birmingham, Alabama
Search for more papers by this authorABHASH C. THAKUR M.D.
Division of Cardiovascular Disease, University of Alabama at Birmingham, Birmingham, Alabama
Search for more papers by this authorRAMESH AGGARWAL M.D.
Division of Cardiovascular Disease, University of Alabama at Birmingham, Birmingham, Alabama
Search for more papers by this authorSATINDER SINGH M.D.
Division of Diagnostic Radiology, Section of Cardiopulmonary Radiology, University of Alabama at Birmingham, Birmingham, Alabama
Search for more papers by this authorBENIGNO SOTO M.D.
Division of Diagnostic Radiology, Section of Cardiopulmonary Radiology, University of Alabama at Birmingham, Birmingham, Alabama
Search for more papers by this authorROBERT CERFOLIO M.D.
Division of Cardiovascular and Thoracic Surgery, University of Alabama at Birmingham, Birmingham, Alabama
Search for more papers by this authorDAVID C. McGIFFIN M.D.
Division of Cardiovascular and Thoracic Surgery, University of Alabama at Birmingham, Birmingham, Alabama
Search for more papers by this authorCorresponding Author
NAVIN C. NANDA M.D.
Division of Cardiovascular Disease, University of Alabama at Birmingham, Birmingham, Alabama
Address for correspondence and reprints: Navin C. Nanda, M.D., University of Alabama at Birmingham, Heart Station SW/S102, Birmingham, AL 35233. Fax: 205–934–6747.Search for more papers by this authorADITYA K. SAMAL M.D.
Division of Cardiovascular Disease, University of Alabama at Birmingham, Birmingham, Alabama
Search for more papers by this authorSTEVE BAKIR M.D.
Division of Cardiovascular Disease, University of Alabama at Birmingham, Birmingham, Alabama
Search for more papers by this authorMOHAMMED MOURSI M.D.
Division of Cardiovascular Disease, University of Alabama at Birmingham, Birmingham, Alabama
Search for more papers by this authorABHASH C. THAKUR M.D.
Division of Cardiovascular Disease, University of Alabama at Birmingham, Birmingham, Alabama
Search for more papers by this authorRAMESH AGGARWAL M.D.
Division of Cardiovascular Disease, University of Alabama at Birmingham, Birmingham, Alabama
Search for more papers by this authorSATINDER SINGH M.D.
Division of Diagnostic Radiology, Section of Cardiopulmonary Radiology, University of Alabama at Birmingham, Birmingham, Alabama
Search for more papers by this authorBENIGNO SOTO M.D.
Division of Diagnostic Radiology, Section of Cardiopulmonary Radiology, University of Alabama at Birmingham, Birmingham, Alabama
Search for more papers by this authorROBERT CERFOLIO M.D.
Division of Cardiovascular and Thoracic Surgery, University of Alabama at Birmingham, Birmingham, Alabama
Search for more papers by this authorDAVID C. McGIFFIN M.D.
Division of Cardiovascular and Thoracic Surgery, University of Alabama at Birmingham, Birmingham, Alabama
Search for more papers by this authorAbstract
We present the transesophageal echocardiographic findings in two adult patients with right-sided aortic arch: one without dissection and the other with traumatic aortic injury (dissection). In both patients, the branching pattern was the left common carotid artery and then the right common carotid artery, followed by the right and left subclavian arteries. The technique for the diagnosis of this anomaly and the identification of adjacent vascular structures using contrast echocardiography is described. Three-dimensional reconstruction of the aortic arch also was performed in both patients.
References
- 1 Shuford WH, Sybers RG: Right aortic arch. In: The Aortic Arch and Its Malformations. Charles C Thomas, Springfield , IL , 1974; 52–68.
- 2 Edwards JE: Anomalies of the aortic arch system. Birth Defects 1977; 13: 47–58.
- 3 Hastreiter AR, D'Cruz IA, Cantez T: Right-sided aorta: Part I. Occurrence of right aortic arch in various types of congenital heart disease. D'Cruz IA, Cantez T, Namin EP, et al: Right-sided aorta: Part II. Right aortic arch, right descending aorta, and associated anomalies. Br Heart J 1966; 28: 722–737.
- 4 Roan P, Parish S, Buja L, et al: Dissecting aortic aneurysm involving a right-sided aortic arch. Am J Cardiol 1979; 44: 381–384.
- 5 Floten HS, Rose DM, Cunningham JN Jr: Surgical therapy of a dissecting aortic aneurysm involving a right-sided aortic arch. J Am Coll Cardiol 1984; 4: 1058–1061.
- 6 Masiello P, Mastrogiovanni G, Santoro G, et al: Type B aortic dissection involving an isolated right-sided aortic arch. Ann Thorac Surg 1996; 62: 887–888.
- 7 Nanda NC, Pinheiro L, Sanyal RS, et al: Transesophageal biplane echocardiographic imaging: Technique, planes and clinical usefulness. Echocardiography 1990; 7: 771–788.
- 8 Seward JB, Khandheria BK, Freeman WK, et al: Multiplane transesophageal echocardiography: Image orientation, examination technique, anatomic correlations, and clinical applications. Mayo Clin Proc 1993; 68: 523–551.
- 9 Nanda NC, Roychoudhury D, Chung S, et al: Quantitative assessment of normal and stenotic aortic valve using transesophageal three-dimensional echocardiography. Echocardiography 1994; 11: 617–625.
- 10 Agrawal G, LaMotte LC, Nanda NC, et al: Identification of the aortic arch branches using transesophageal echocardiography. Echocardiography 1997; 14: 461–466.
- 11 LaMotte LC, Nanda NC, Thakur AC, et al: Transesophageal echocardiography identification of neck veins: Value of contrast echocardiography. Echocardiography 1998; 27.
- 12 Nanda NC, Pinheiro L, Sanyal R, et al: Transesophageal echocardiographic examination of left-sided superior vena cava and azygos vein and hemiazygos vein. Echocardiography 1991; 8: 731–740.