Clinical value of multi‑slice spiral computed tomography angiography and three‑dimensional reconstruction in the diagnosis of double aortic arch

Chen,Xin; Qu,Yanjuan; Peng,Zhi‑Yuan; Lu,Jingguo; Ma,Xiaojing; Hu,Wenjuan

doi:10.3892/etm.2014.1763

August-2014 Volume 8 Issue 2

Full Size Image

Journals

International Journal of Molecular Medicine

International Journal of Molecular Medicine is an international journal devoted to molecular mechanisms of human disease.

International Journal of Oncology

International Journal of Oncology is an international journal devoted to oncology research and cancer treatment.

Molecular Medicine Reports

Covers molecular medicine topics such as pharmacology, pathology, genetics, neuroscience, infectious diseases, molecular cardiology, and molecular surgery.

Oncology Reports

Oncology Reports is an international journal devoted to fundamental and applied research in Oncology.

Experimental and Therapeutic Medicine

Experimental and Therapeutic Medicine is an international journal devoted to laboratory and clinical medicine.

Oncology Letters

Oncology Letters is an international journal devoted to Experimental and Clinical Oncology.

Biomedical Reports

Explores a wide range of biological and medical fields, including pharmacology, genetics, microbiology, neuroscience, and molecular cardiology.

Molecular and Clinical Oncology

International journal addressing all aspects of oncology research, from tumorigenesis and oncogenes to chemotherapy and metastasis.

World Academy of Sciences Journal

Multidisciplinary open-access journal spanning biochemistry, genetics, neuroscience, environmental health, and synthetic biology.

International Journal of Functional Nutrition

Open-access journal combining biochemistry, pharmacology, immunology, and genetics to advance health through functional nutrition.

International Journal of Epigenetics

Publishes open-access research on using epigenetics to advance understanding and treatment of human disease.

Medicine International

An International Open Access Journal Devoted to General Medicine.

August-2014 Volume 8 Issue 2

Full Size Image

Article

Clinical value of multi‑slice spiral computed tomography angiography and three‑dimensional reconstruction in the diagnosis of double aortic arch

Authors:
- Xin Chen
- Yanjuan Qu
- Zhi‑Yuan Peng
- Jingguo Lu
- Xiaojing Ma
- Wenjuan Hu
View Affiliations / Copyright

Affiliations: Department of Radiology, Wuhan Asia Heart Hospital, Wuhan, Hubei 430022, P.R. China , Department of Radiology, Zhongnan Hospital of Wuhan University, Wuhan, Hubei 430071, P.R. China, Department of Cardiology, Wuhan Asia Heart Hospital, Wuhan, Hubei 430022, P.R. China
Pages: 623-627
|
Published online on: June 6, 2014

https://doi.org/10.3892/etm.2014.1763
Expand metrics +

Abstract

The aim of this study was to evaluate the clincal value of multi‑slice spiral computed tomography (MSCT) in the diagnosis of double aortic arch (DAA) and analyze the associated angiography and 3D reconstruction imaging to increase the accuracy of DAA diagnosis. Clinical and imaging data from 15 patients diagnosed with DAA by MSCT were summarized and compared with the corresponding surgical observations. The DAA diagnosis by MSCT for the 15 patients was confirmed by the surgical observations. A total of 13 cases were categorized as type I (double arches are open), including nine with a larger right arch, two with a larger left arch and two with balanced arches. Two cases were categorized as type II (one atretic arch), characterized by left atretic arch. Among the 15 patients, ultrasound diagnosis succeeded in nine cases and failed in the rest. A single malformation was identified in only two cases, whereas the rest had single or multiple combination(s) of intracardiac and extracardiac malformations, including seven with different levels of tracheobronchial stenosis. MSCT was demonstrated to precisely diagnose DAA complicated by malformation and tracheobronchial stenosis. MSCT is an essential therapeutic strategy and serves as a primary method in DAA diagnosis.

View Figures

View References

1	Juraszek AL and Guleserian KJ: Common aortic arch anomalies: diagnosis and management. Curr Treat Options Cardiovasc Med. 8:414–418. 2006. View Article : Google Scholar
2	Miura T, Nakamura J, Yamada S, et al: A fatal aortoesophageal fistula caused by critical combination of double aortic arch and nasogastric tube insertion for superior mesenteric artery syndrome. Case Rep Gastroenterol. 4:198–203. 2010. View Article : Google Scholar
3	Shanmugam G, Macarthur K and Pollock J: Surgical repair of double aortic arch: 16-year experience. Asian Cardiovasc Thorac Ann. 13:4–10. 2005.PubMed/NCBI
4	Choi HS, Shin DH, Kim KR and Park YA: Preoperative three-dimensional CT angiography to distinguish between an aberrant subclavian artery and a double aortic arch in thyroid surgery: Report of 2 cases. Auris Nasus Larynx. 38:127–132. 2011. View Article : Google Scholar
5	Pacharn P, Poe SA and Donnelly LF: Low-tube-current multidetector CT for children with suspected extrinsic airway compression. AJR Am J Roentgenol. 179:1523–1527. 2002. View Article : Google Scholar : PubMed/NCBI
6	Berdon WE: Rings, slings, and other things: vascular compression of the infant trachea updated from the midcentury to the millennium - the legacy of Robert E. Gross, MD, and Edward B. D. Neuhauser, MD. Radiology. 216:624–632. 2000. View Article : Google Scholar : PubMed/NCBI
7	Danzi GB, Salice P and Mosca F: Double aortic arch in neonates: optimal definition by means of contrast-enhanced helical CT scan. Heart. 97:9502011. View Article : Google Scholar : PubMed/NCBI
8	Subramanyan R, Venugopalan P and Narayan R: Vascular rings: an important cause of persistent respiratory symptoms in infants and children. Indian Pediatr. 40:951–957. 2003.PubMed/NCBI
9	Narayan RL, Kanwar A, Jacobi A and Sanz J: Imaging a boa constrictor - the incomplete double aortic arch syndrome. Heart Lung Circ. 21:745–746. 2012. View Article : Google Scholar : PubMed/NCBI
10	Schlesinger AE, Krishnamurthy R, Sena LM, et al: Incomplete double aortic arch with atresia of the distal left arch: distinctive imaging appearance. AJR Am J Roentgenol. 184:1634–1639. 2005. View Article : Google Scholar : PubMed/NCBI
11	Alsenaidi K, Gurofsky R, Karamlou T, et al: Management and outcomes of double aortic arch in 81 patients. Pediatrics. 118:e1336–1341. 2006. View Article : Google Scholar : PubMed/NCBI
12	Singh C, Gupta M and Sharma S: Compression of trachea due to double aortic arch: demonstration by multi-slice CT scan (MSCT). Heart Lung Circ. 15:332–333. 2006. View Article : Google Scholar : PubMed/NCBI
13	Katz M, Konen E, Rozenman J, et al: Spiral CT and 3D image reconstruction of vascular rings and associated tracheobronchial anomalies. J Comput Assist Tomogr. 19:564–568. 1995. View Article : Google Scholar : PubMed/NCBI
14	Gustafson LM, Liu JH, Link DT, Strife JL and Cotton RT: Spiral CT versus MRI in neonatal airway evaluation. Int J Pediatr Otorhinolaryngol. 52:197–201. 2000. View Article : Google Scholar : PubMed/NCBI
15	Honnef D, Wildberger JE, Das M, et al: Value of virtual tracheobronchoscopy and bronchography from 16-slice multidetector-row spiral computed tomography for assessment of suspected tracheobronchial stenosis in children. Eur Radiol. 16:1684–1691. 2006. View Article : Google Scholar
16	Lee EY, Zurakowski D, Waltz DA, et al: MDCT evaluation of the prevalence of tracheomalacia in children with mediastinal aortic vascular anomalies. J Thorac Imaging. 23:258–265. 2008. View Article : Google Scholar : PubMed/NCBI
17	Alboliras ET, Lombardo S and Antillon J: Truncus arteriosus with double aortic arch: two-dimensional and color flow Doppler echocardiographic diagnosis. Am Heart J. 129:415–417. 1995. View Article : Google Scholar : PubMed/NCBI
18	Turan S, Turan OM, Maisel P, Gaskin P, Harman CR and Baschat AA: Three-dimensional sonography in the prenatal diagnosis of aortic arch abnormalities. J Clin Ultrasound. 37:253–257. 2009. View Article : Google Scholar : PubMed/NCBI
19	Sivaprakasam MC and Vettukattil JJ: 3-D echocardiographic imaging of double aortic arch. Eur J Echocardiogr. 7:476–477. 2006. View Article : Google Scholar : PubMed/NCBI
20	Russo V, Renzulli M, La Palombara C and Fattori R: Congenital diseases of the thoracic aorta. Role of MRI and MRA. Eur Radiol. 16:676–684. 2006. View Article : Google Scholar : PubMed/NCBI
21	Cantinotti M, Hegde S, Bell A and Razavi R: Diagnostic role of magnetic resonance imaging in identifying aortic arch anomalies. Congenit Heart Dis. 3:117–123. 2008. View Article : Google Scholar : PubMed/NCBI
22	Kilner PJ: Imaging congenital heart disease in adults. Br J Radiol. 84:S258–S268. 2011. View Article : Google Scholar : PubMed/NCBI
23	Chen X, Qu YJ, Peng ZY, Lu JG and Ma XJ: Diagnosis of congenital aortic arch anomalies in Chinese children by multi-detector computed tomography angiography. J Huazhong Univ Sci Technolog Med Sci. 33:447–451. 2013. View Article : Google Scholar : PubMed/NCBI

Journals

International Journal of Molecular Medicine

International Journal of Oncology

Molecular Medicine Reports

Oncology Reports

Experimental and Therapeutic Medicine

Oncology Letters

Biomedical Reports

Molecular and Clinical Oncology

World Academy of Sciences Journal

International Journal of Functional Nutrition

International Journal of Epigenetics

Medicine International

Clinical value of multi‑slice spiral computed tomography angiography and three‑dimensional reconstruction in the diagnosis of double aortic arch

This article is mentioned in:

Abstract

Figure 1

Figure 2

Figure 3

Figure 4

Figure 5

Figure 6

Related Articles