Right sided aortic arch with mirror image branching and absent celiac trunk

Case contributed by Fakhry Mahmoud Ebouda
Diagnosis certain

Presentation

Incidental findings in patient investigated for anemia and weight loss.

Patient Data

Age: 50 years old
Gender: Male

Right sided aortic arch with mirror image branching (no aberrant course of the left subclavian). The whole thoracic aorta is running through the right paravertebral line up to level of T11 where it crosses to the left side. The splenic and common hepatic arteries are arising directly from abdominal aorta in the presumed site of celiac axis which is absent (anatomical variant).

Case Discussion

Aortic arch variant and absent celiac trunk.

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