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Comment On “Anatomical Variations In Branching Pattern Of Arcus Aorta: 64-slice CTA Appearance (Ergun Et Al. Surg Radiol Anat Doi: 10.1007/s00276-012-1063-3)”

Fahri Halit Besir, Mehmet Ali Ozel, O. Onbaş
Published 2014 · Medicine

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The knowledge of the branching pattern of the arcus aorta is important to reduce catheterization failure and complications during interventional radiological procedure. Diagnostic and therapeutic pre-procedural knowledge of any anomalous branching pattern of the arcus aorta is important to reduce examination time, complications, and catheterization failure during endovascular procedure in cases of complex anatomical variations. Right-sided arcus aorta is a rare and usually asymptomatic condition. In symptomatic cases, dyspnea and chronic cough were seen as previously described [4] Type 5 arcus aorta pattern according to classification of Natsis et al. [3] is rarely seen. Both RSAA and type 5 arcus aorta pattern are shown in the present case. We reported the first case evaluating the MR angiographic findings of RSAA with bicarotid trunk in the English literature to the best of our knowledge. The studies of Ergun et al. and Natsis et al. [1, 3], different from our case study, were conducted with multidetector computed tomography angiography (MDCT). The knowledge of arcus aorta type and the possible presence of accompanied vascular anomaly are crucial in choosing endovascular approach. Both MDCT angiography and MR angiography are seen as the best non-invasive imaging method to detect vascular anomalies. MIP and 3D volume rendering images provide us detailed and important information about the vascular anomalies. To the editor,
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