Right aortic arch with left aberrant subclavian artery and azygos continuation of IVC

Case contributed by Jose Ignacio Aragon , 26 Apr 2020
Diagnosis certain
Changed by Jose Ignacio Aragon, 26 Apr 2020

Updates to Case Attributes

Status changed from draft to published (public).
Published At was set to .
Presentation was changed:
In study for right aortic arch previously seen in a CXR.

Updates to Study Attributes

Findings was changed:

The aortic arch is at the right in relation with the trachea. 

The aberrant left subclavian artery is the branch that arises from Kommerell diverticulum at the distal end of the aortic arch. This findings are related with a right aortic arch with aberrant left subclavian artery. Also

Also, there is dilatation of the azygos vein that demonstrates azygos continuation of the IVC.  The azygos vein drains in the superior vena cava. 

Updates to Quizquestion Attributes

Question was added:
Why this happened? (Embriology of the aorta)
Answer was added:
Because of an interruption of the dorsal segment of the left arch between the left common carotid and left subclavian arteries with regression of the right ductus arteriosus in the hypothetical double aortic arch

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