Arc of Riolan

Case contributed by Dr Donna D'Souza
Modality: DSA (angiography)

This patient had severe proximal SMA stenosis.  

An enlarged Arc of Riolan (red arrow) can be seen connecting the proximal IMA (not opacified in this image) with the proximal SMA (poorly opacified due to the stenosis). During the angiographic run, the AOR filled retrogradely from the IMA to the SMA to provide collateral flow, illustrating the haemodynamic significance of the SMA stenosis.

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Case Information

rID: 36156
Case created: 24th Apr 2015
Last edited: 23rd Nov 2015
Inclusion in quiz mode: Excluded

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