Right aortic arch

Case contributed by RMH Core Conditions
Diagnosis certain

Presentation

SLE. Chest pain ?PE.

Patient Data

Age: 30
Gender: Female

Pulmonary angiogram

ct

There are no pulmonary emboli. Note is made of a right-sided aortic arch with a retroesophageal course of the left subclavian artery. The cardiac apex is on the left. The lungs are clear. No airspace, interstitial or nodular disease. No pleural or pericardial effusion. No suspicious bone lesions.

Case Discussion

Right aortic arch are rare, occurring in ~0.1% of the population. There are three types:

  1. mirror image branching
  2. aberrant left subclavian artery (this case)
  3. isolation of the left subclavian artery 

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