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Cervical aortic arch

MedGen UID:
488873
•Concept ID:
C0345065
•
Congenital Abnormality
SNOMED CT: Cervical aortic arch (253657003)
 
HPO: HP:0011588

Definition

The aortic arch extends into the soft tissues of the neck before turning down into to become the descending aorta. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVCervical aortic arch
Follow this link to review classifications for Cervical aortic arch in Orphanet.

Professional guidelines

PubMed

Clinical Presentation and Management of the Cervical Aortic Arch in the Adult Population: A Review of Case Reports.
Baudo M, Sicouri S, Yamashita Y, Senzai M, Herman CR, Rodriguez R, Patel S, Ahmal B, Lo Rito M, Meisner R, Hirsch L, Uribe A, Ramlawi B
J Cardiothorac Vasc Anesth 2024 Aug;38(8):1777-1785. Epub 2024 Apr 2 doi: 10.1053/j.jvca.2024.03.041. PMID: 38834445

Recent clinical studies

Etiology

Surgical repair of cervical aortic arch: An alternative classification scheme based on experience in 35 patients.
Zhong YL, Ma WG, Zhu JM, Qiao ZY, Zheng J, Liu YM, Sun LZ
J Thorac Cardiovasc Surg 2020 Jun;159(6):2202-2213.e4. Epub 2019 Jun 18 doi: 10.1016/j.jtcvs.2019.03.143. PMID: 31376997
Anomaly of Haughton type D left cervical aortic arch in combination with type B dissection: case report and literature review.
Zientara A, Schwegler I, Attigah N, Genoni M, Dzemali O
J Cardiothorac Surg 2018 Jun 27;13(1):79. doi: 10.1186/s13019-018-0768-8. PMID: 29945646Free PMC Article
Hypoplastic right cervical aortic arch.
Gerrah R, Shah A, Langley SM, Quaegebeur JM
Ann Thorac Surg 2012 Dec;94(6):2127-9. doi: 10.1016/j.athoracsur.2012.04.136. PMID: 23176933
Right-sided oropharyngeal cervical aortic arch.
Halpin JS, Kunin JR, Rosado-de-Christenson ML
J Thorac Imaging 2010 Nov;25(4):W124-7. doi: 10.1097/RTI.0b013e3181cecffa. PMID: 20634765
Surgical approach to complicated cervical aortic arch: anatomic, developmental, and surgical considerations.
McElhinney DB, Thompson LD, Weinberg PM, Jue KL, Hanley FL
Cardiol Young 2000 May;10(3):212-9. doi: 10.1017/s1047951100009136. PMID: 10824901

Diagnosis

Clinical Presentation and Management of the Cervical Aortic Arch in the Adult Population: A Review of Case Reports.
Baudo M, Sicouri S, Yamashita Y, Senzai M, Herman CR, Rodriguez R, Patel S, Ahmal B, Lo Rito M, Meisner R, Hirsch L, Uribe A, Ramlawi B
J Cardiothorac Vasc Anesth 2024 Aug;38(8):1777-1785. Epub 2024 Apr 2 doi: 10.1053/j.jvca.2024.03.041. PMID: 38834445
Surgical management of lesions encountered in the setting of the retroaortic left brachiocephalic vein.
Chowdhury UK, Anderson RH, Sankhyan LK, George N, Goja S, Pandey NN, Arvind B, Tharranath I
J Card Surg 2021 Nov;36(11):4280-4291. Epub 2021 Aug 15 doi: 10.1111/jocs.15907. PMID: 34392559
The aortic arch in tetralogy of Fallot: types of branching and clinical implications.
Prabhu S, Kasturi S, Mehra S, Tiwari R, Joshi A, John C, Karl TR
Cardiol Young 2020 Aug;30(8):1144-1150. Epub 2020 Jun 23 doi: 10.1017/S1047951120001705. PMID: 32638692
Hypoplastic right cervical aortic arch.
Gerrah R, Shah A, Langley SM, Quaegebeur JM
Ann Thorac Surg 2012 Dec;94(6):2127-9. doi: 10.1016/j.athoracsur.2012.04.136. PMID: 23176933
Pseudocoarctation.
Adaletli I, Kurugoglu S, Davutoglu V, Ozer H, Besirli K, Sayin AG
Can J Cardiol 2007 Jun;23(8):675-6. doi: 10.1016/s0828-282x(07)70232-5. PMID: 17593995Free PMC Article

Therapy

Carotid-Carotid Transposition for Zone 1 Thoracic Endovascular Aortic Repair.
Aru RG, Tyagi SC, Minion DJ, Orr NT, Bounds MC
Ann Vasc Surg 2021 Oct;76:325-329. Epub 2021 May 2 doi: 10.1016/j.avsg.2021.04.025. PMID: 33951527
Surgical repair of cervical aortic arch: An alternative classification scheme based on experience in 35 patients.
Zhong YL, Ma WG, Zhu JM, Qiao ZY, Zheng J, Liu YM, Sun LZ
J Thorac Cardiovasc Surg 2020 Jun;159(6):2202-2213.e4. Epub 2019 Jun 18 doi: 10.1016/j.jtcvs.2019.03.143. PMID: 31376997
Anomaly of Haughton type D left cervical aortic arch in combination with type B dissection: case report and literature review.
Zientara A, Schwegler I, Attigah N, Genoni M, Dzemali O
J Cardiothorac Surg 2018 Jun 27;13(1):79. doi: 10.1186/s13019-018-0768-8. PMID: 29945646Free PMC Article
Right cervical aortic arch and pseudocoarctation of the aorta associated with aneurysms and steal phenomena: US, CTA, and MRA findings.
Tanju S, Ustuner E, Erden I, Aytac SK
Cardiovasc Intervent Radiol 2007 Jan-Feb;30(1):146-9. doi: 10.1007/s00270-005-0316-5. PMID: 16802075

Prognosis

Right cervical aortic arch associated with anomaly of epiaortic vessels and haemodynamically significant obstruction between ascending and descending aorta. Extra-anatomic bypass graft between ascending and descending aorta and long-term follow-up.
Cavalla F, Cipriani A
Cardiol Young 2023 Sep;33(9):1735-1737. Epub 2023 Mar 17 doi: 10.1017/S1047951123000446. PMID: 36927472
Carotid-Carotid Transposition for Zone 1 Thoracic Endovascular Aortic Repair.
Aru RG, Tyagi SC, Minion DJ, Orr NT, Bounds MC
Ann Vasc Surg 2021 Oct;76:325-329. Epub 2021 May 2 doi: 10.1016/j.avsg.2021.04.025. PMID: 33951527
Hypoplastic right cervical aortic arch.
Gerrah R, Shah A, Langley SM, Quaegebeur JM
Ann Thorac Surg 2012 Dec;94(6):2127-9. doi: 10.1016/j.athoracsur.2012.04.136. PMID: 23176933
Right-sided oropharyngeal cervical aortic arch.
Halpin JS, Kunin JR, Rosado-de-Christenson ML
J Thorac Imaging 2010 Nov;25(4):W124-7. doi: 10.1097/RTI.0b013e3181cecffa. PMID: 20634765
Surgical approach to complicated cervical aortic arch: anatomic, developmental, and surgical considerations.
McElhinney DB, Thompson LD, Weinberg PM, Jue KL, Hanley FL
Cardiol Young 2000 May;10(3):212-9. doi: 10.1017/s1047951100009136. PMID: 10824901

Clinical prediction guides

Origin of the left common carotid artery from ascending aorta in association with tetralogy of Fallot and hypoplastic right cervical aortic arch.
Vidiyala P, Ojha V, Ramakrishnan S, Jagia P
J Card Surg 2022 Dec;37(12):5457-5458. Epub 2022 Nov 6 doi: 10.1111/jocs.17136. PMID: 36335633
Absent right common carotid artery associated with aberrant right subclavian artery.
Uchino A, Uwabe K, Osawa I
Neuroradiol J 2018 Jun;31(3):305-308. Epub 2017 May 9 doi: 10.1177/1971400917698980. PMID: 28482739Free PMC Article
Congenital heart defects and chromosomal anomalies including 22q11 microdeletion (CATCH 22).
Soares G, Alvares S, Rocha C, Teixeira MF, Mota MC, Reis MI, Feijó MJ, Lima MR, Pinto MR
Rev Port Cardiol 2005 Mar;24(3):349-71. PMID: 15929620

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