Cervical Arch of the Aorta
The Common Vein Copyright 2008
Definition
The cervical arch is a congenital abnormality characyerized by a malposition of the arcch which is too cranial or sometimes even within the soft tissues of the neck. As a result the distal arch and proximal descending aorta becoame buckled and presents as a pseudocoarctation. Most cervical arches are right sided.
The diagnosis should be considered as a rare cause of dysphagia sinve the abnormally positioned arch could impinge on the esophagus. A chest X-ray would suggest the diagnosis but CT or MRI would confirm the diagnosis.
Treatment for symptomatic patients is usually surgical.
 
Cervical Arch and Pseudocoarctation
|
| This cross sectional view of the chest at the apex of the lungs at the level of the manubrial notch shows the top of the aortic ach which is more superior than usual and is known as a cervical arch. The aorta more inferiorly is also redundant and tends to kink eventually appearing as a pseudocoarctation. In this case only a kink is present.
Courtesy Ashley Davidoff MD 33539 see 33535 code aorta arch cervical kink pseudocoarctation imaging radiology CTscan |
Cervical Left Sided Aortic Arch with Severe Kinking and Aberrant Right Subclavian Artery
|
| 35361c01 aorta arch cervical arch pseudocoarctation angiogram angiography Courtesy Laura Feldman MD |
DOMElement Object
(
[schemaTypeInfo] =>
[tagName] => table
[firstElementChild] => (object value omitted)
[lastElementChild] => (object value omitted)
[childElementCount] => 1
[previousElementSibling] => (object value omitted)
[nextElementSibling] =>
[nodeName] => table
[nodeValue] =>
Cervical Left Sided Aortic Arch with Severe Kinking and Aberrant Right Subclavian Artery
35361c01 aorta arch cervical arch pseudocoarctation angiogram angiography Courtesy Laura Feldman MD
[nodeType] => 1
[parentNode] => (object value omitted)
[childNodes] => (object value omitted)
[firstChild] => (object value omitted)
[lastChild] => (object value omitted)
[previousSibling] => (object value omitted)
[nextSibling] => (object value omitted)
[attributes] => (object value omitted)
[ownerDocument] => (object value omitted)
[namespaceURI] =>
[prefix] =>
[localName] => table
[baseURI] =>
[textContent] =>
Cervical Left Sided Aortic Arch with Severe Kinking and Aberrant Right Subclavian Artery
35361c01 aorta arch cervical arch pseudocoarctation angiogram angiography Courtesy Laura Feldman MD
)
DOMElement Object
(
[schemaTypeInfo] =>
[tagName] => td
[firstElementChild] => (object value omitted)
[lastElementChild] => (object value omitted)
[childElementCount] => 1
[previousElementSibling] =>
[nextElementSibling] =>
[nodeName] => td
[nodeValue] => 35361c01 aorta arch cervical arch pseudocoarctation angiogram angiography Courtesy Laura Feldman MD
[nodeType] => 1
[parentNode] => (object value omitted)
[childNodes] => (object value omitted)
[firstChild] => (object value omitted)
[lastChild] => (object value omitted)
[previousSibling] => (object value omitted)
[nextSibling] => (object value omitted)
[attributes] => (object value omitted)
[ownerDocument] => (object value omitted)
[namespaceURI] =>
[prefix] =>
[localName] => td
[baseURI] =>
[textContent] => 35361c01 aorta arch cervical arch pseudocoarctation angiogram angiography Courtesy Laura Feldman MD
)
DOMElement Object
(
[schemaTypeInfo] =>
[tagName] => td
[firstElementChild] => (object value omitted)
[lastElementChild] => (object value omitted)
[childElementCount] => 2
[previousElementSibling] =>
[nextElementSibling] =>
[nodeName] => td
[nodeValue] =>
Cervical Left Sided Aortic Arch with Severe Kinking and Aberrant Right Subclavian Artery
[nodeType] => 1
[parentNode] => (object value omitted)
[childNodes] => (object value omitted)
[firstChild] => (object value omitted)
[lastChild] => (object value omitted)
[previousSibling] => (object value omitted)
[nextSibling] => (object value omitted)
[attributes] => (object value omitted)
[ownerDocument] => (object value omitted)
[namespaceURI] =>
[prefix] =>
[localName] => td
[baseURI] =>
[textContent] =>
Cervical Left Sided Aortic Arch with Severe Kinking and Aberrant Right Subclavian Artery
)
DOMElement Object
(
[schemaTypeInfo] =>
[tagName] => table
[firstElementChild] => (object value omitted)
[lastElementChild] => (object value omitted)
[childElementCount] => 1
[previousElementSibling] => (object value omitted)
[nextElementSibling] => (object value omitted)
[nodeName] => table
[nodeValue] =>
Cervical Arch and Pseudocoarctation
This cross sectional view of the chest at the apex of the lungs at the level of the manubrial notch shows the top of the aortic ach which is more superior than usual and is known as a cervical arch. The aorta more inferiorly is also redundant and tends to kink eventually appearing as a pseudocoarctation. In this case only a kink is present.
Courtesy Ashley Davidoff MD 33539 see 33535 code aorta arch cervical kink pseudocoarctation imaging radiology CTscan
[nodeType] => 1
[parentNode] => (object value omitted)
[childNodes] => (object value omitted)
[firstChild] => (object value omitted)
[lastChild] => (object value omitted)
[previousSibling] => (object value omitted)
[nextSibling] => (object value omitted)
[attributes] => (object value omitted)
[ownerDocument] => (object value omitted)
[namespaceURI] =>
[prefix] =>
[localName] => table
[baseURI] =>
[textContent] =>
Cervical Arch and Pseudocoarctation
This cross sectional view of the chest at the apex of the lungs at the level of the manubrial notch shows the top of the aortic ach which is more superior than usual and is known as a cervical arch. The aorta more inferiorly is also redundant and tends to kink eventually appearing as a pseudocoarctation. In this case only a kink is present.
Courtesy Ashley Davidoff MD 33539 see 33535 code aorta arch cervical kink pseudocoarctation imaging radiology CTscan
)
DOMElement Object
(
[schemaTypeInfo] =>
[tagName] => td
[firstElementChild] => (object value omitted)
[lastElementChild] => (object value omitted)
[childElementCount] => 2
[previousElementSibling] =>
[nextElementSibling] =>
[nodeName] => td
[nodeValue] => This cross sectional view of the chest at the apex of the lungs at the level of the manubrial notch shows the top of the aortic ach which is more superior than usual and is known as a cervical arch. The aorta more inferiorly is also redundant and tends to kink eventually appearing as a pseudocoarctation. In this case only a kink is present.
Courtesy Ashley Davidoff MD 33539 see 33535 code aorta arch cervical kink pseudocoarctation imaging radiology CTscan
[nodeType] => 1
[parentNode] => (object value omitted)
[childNodes] => (object value omitted)
[firstChild] => (object value omitted)
[lastChild] => (object value omitted)
[previousSibling] => (object value omitted)
[nextSibling] => (object value omitted)
[attributes] => (object value omitted)
[ownerDocument] => (object value omitted)
[namespaceURI] =>
[prefix] =>
[localName] => td
[baseURI] =>
[textContent] => This cross sectional view of the chest at the apex of the lungs at the level of the manubrial notch shows the top of the aortic ach which is more superior than usual and is known as a cervical arch. The aorta more inferiorly is also redundant and tends to kink eventually appearing as a pseudocoarctation. In this case only a kink is present.
Courtesy Ashley Davidoff MD 33539 see 33535 code aorta arch cervical kink pseudocoarctation imaging radiology CTscan
)
DOMElement Object
(
[schemaTypeInfo] =>
[tagName] => td
[firstElementChild] => (object value omitted)
[lastElementChild] => (object value omitted)
[childElementCount] => 3
[previousElementSibling] =>
[nextElementSibling] =>
[nodeName] => td
[nodeValue] =>
Cervical Arch and Pseudocoarctation
[nodeType] => 1
[parentNode] => (object value omitted)
[childNodes] => (object value omitted)
[firstChild] => (object value omitted)
[lastChild] => (object value omitted)
[previousSibling] => (object value omitted)
[nextSibling] => (object value omitted)
[attributes] => (object value omitted)
[ownerDocument] => (object value omitted)
[namespaceURI] =>
[prefix] =>
[localName] => td
[baseURI] =>
[textContent] =>
Cervical Arch and Pseudocoarctation
)
