Vertebral artery (VA) lusoria is an unusual variation of the VA origin and course, characterised by the direct origin of the right VA (RVA) from the aortic arch (AoA) instead of the right subclavian artery (RSCA). Generally, this condition remains asymptomatic and is diagnosed during computed tomography angiography (CTA) or catheter angiography performed for evaluation of other cardiac or extracardiac pathology. The surgeon and physician must be aware of this VA-origin anomaly before undergoing surgery or angiography, as injury to this vessel can be catastrophic and lead to torrential haemorrhage or brain stem infarction.
View Article and Find Full Text PDFPopliteal artery entrapment syndrome (PAES) is a frequently underdiagnosed condition that should be investigated in adults who experience exertional intermittent claudication in the lower limbs. If detected early, it is a surgically treatable cause of leg claudication in young individuals. PAES can be inherited or acquired through muscular hypertrophy, and the literature classifies it into six categories (I-VI) based on anatomical type.
View Article and Find Full Text PDF41-year-old lady, known case of Takayasu arteritis with pulmonary arterial involvement, presented with multiple episodes of haemoptysis (maximum 50 mL) in a week. She had undergone descending thoracic aorta angioplasty and stenting 3 years ago due to uncontrolled hypertension, left ventricular systolic dysfunction and approximately 70% stenosis of descending thoracic aorta. This lady was treated with embolization of hypertrophied bronchial artery as well as left internal mammary artery branch for management of haemoptysis.
View Article and Find Full Text PDFThis study includes a series of 5 cases demonstrating cardiovascular manifestations of findings of IgG4-related disease. Two cases demonstrate peri-aortic soft tissue thickening in the infrarenal abdominal aorta and bilateral ostio--proximal common iliac artery. In 2 cases there were circumferential soft tissue lesions around the arch of the aorta.
View Article and Find Full Text PDFIndian J Thorac Cardiovasc Surg
November 2022
We hereby present an unusually long intra-atrial course of the right coronary artery incidentally detected on computed tomography angiography. Although usually asymptomatic, an intra-atrial right coronary artery may be injured during iatrogenic procedures which require right heart catheterisation.
View Article and Find Full Text PDFWe hereby present a case of intrapulmonary invagination of the left internal mammary artery detected on CT angiography. We aim to highlight the role of CT angiography in identifying these course anomalies and their clinical implications.
View Article and Find Full Text PDFWe hereby present a patient with tetralogy of Fallot in whom a carotid trunk and aberrant right subclavian artery (arising just next to the origin of the left subclavian artery) were diagnosed on computed tomography (CT) angiography. We aim to highlight the role of CT angiography in identifying these rare aortic arch branching anomalies, which are crucial information for the operating surgeon.
View Article and Find Full Text PDFWe report a case of a 5-year-old child with tetralogy of Fallot-pulmonary atresia with anomalous origin of left pulmonary artery from ascending aorta and right lung supplied by collateral arteries. This case highlights the role of preoperative CT angiography in differentiating this entity from a common arterial trunk with discontinuous pulmonary arteries.
View Article and Find Full Text PDFWe report an 11-year-old child with double-chambered right ventricle detected on echocardiography in whom computed tomography (CT) angiography revealed a rare arch anomaly double aortic arch with atretic left arch. This case highlights the ability of CT angiography in identifying such cardiovascular anomalies which have clinical and surgical implications.
View Article and Find Full Text PDFWe hereby present a case of a unique intrathymic course of left brachiocephalic vein in a patient with Tetralogy of Fallot and aberrant right subclavian artery deciphered on computed tomography angiography.
View Article and Find Full Text PDFWe hereby present a case of congenitally corrected transposition of great arteries association of bicuspid aortic valve morphology and anomalous separate origin of the right ventricular branch of the right coronary artery. We aim to highlight the role of computed tomography angiography in identifying these rare associations.
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