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Double Aortic Arch
Santiago Martínez-Jiménez, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Clinical Issues

        TERMINOLOGY

        • Abbreviations

          • Double aortic arch (DAA)
        • Definitions

          • Persistent right and left aortic arches, each one giving rise to separate ipsilateral subclavian and carotid arteries
          • Variants
            • Both arches patent and functioning
            • Right arch patent, left arch atretic
              • Difficult to differentiate from right aortic arch mirror image branching

        IMAGING

        • General Features

          • Radiographic Findings

            • Fluoroscopic Findings

              • CT Findings

                • MR Findings

                  • Echocardiographic Findings

                    • Imaging Recommendations

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          • Gross Pathologic & Surgical Features

                            CLINICAL ISSUES

                            • Presentation

                              • Demographics

                                • Treatment

                                  Selected References

                                  1. Li S et al: Congenital abnormalities of the aortic arch: revisiting the 1964 Stewart classification. Cardiovasc Pathol. 39:38-50, 2018
                                  2. Hanneman K et al: Congenital variants and anomalies of the aortic arch. Radiographics. 37(1):32-51, 2017
                                  3. Newman B et al: Persistent fifth arch anomalies - broadening the spectrum to include a variation of double aortic arch vascular ring. Pediatr Radiol. 46(13):1866-1872, 2016
                                  4. Ramos-Duran L et al: Developmental aortic arch anomalies in infants and children assessed with CT angiography. AJR Am J Roentgenol. 198(5):W466-74, 2012
                                  5. Dillman JR et al: Common and uncommon vascular rings and slings: a multi-modality review. Pediatr Radiol. 41(11):1440-54; quiz 1489-90, 2011
                                  6. Kanne JP et al: Right aortic arch and its variants. J Cardiovasc Comput Tomogr. 4(5):293-300, 2010
                                  7. Kellenberger CJ: Aortic arch malformations. Pediatr Radiol. 40(6):876-84, 2010
                                  8. Holmes KW et al: Magnetic resonance imaging of a distorted left subclavian artery course: an important clue to an unusual type of double aortic arch. Pediatr Cardiol. 27(3):316-20, 2006
                                  9. Chan MS et al: Angiography and dynamic airway evaluation with MDCT in the diagnosis of double aortic arch associated with tracheomalacia. AJR Am J Roentgenol. 185(5):1248-51, 2005
                                  Related Anatomy
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                                  Related Differential Diagnoses
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                                  References
                                  Tables

                                  Tables

                                  KEY FACTS

                                  • Terminology

                                    • Imaging

                                      • Clinical Issues

                                        TERMINOLOGY

                                        • Abbreviations

                                          • Double aortic arch (DAA)
                                        • Definitions

                                          • Persistent right and left aortic arches, each one giving rise to separate ipsilateral subclavian and carotid arteries
                                          • Variants
                                            • Both arches patent and functioning
                                            • Right arch patent, left arch atretic
                                              • Difficult to differentiate from right aortic arch mirror image branching

                                        IMAGING

                                        • General Features

                                          • Radiographic Findings

                                            • Fluoroscopic Findings

                                              • CT Findings

                                                • MR Findings

                                                  • Echocardiographic Findings

                                                    • Imaging Recommendations

                                                      DIFFERENTIAL DIAGNOSIS

                                                        PATHOLOGY

                                                        • General Features

                                                          • Gross Pathologic & Surgical Features

                                                            CLINICAL ISSUES

                                                            • Presentation

                                                              • Demographics

                                                                • Treatment

                                                                  Selected References

                                                                  1. Li S et al: Congenital abnormalities of the aortic arch: revisiting the 1964 Stewart classification. Cardiovasc Pathol. 39:38-50, 2018
                                                                  2. Hanneman K et al: Congenital variants and anomalies of the aortic arch. Radiographics. 37(1):32-51, 2017
                                                                  3. Newman B et al: Persistent fifth arch anomalies - broadening the spectrum to include a variation of double aortic arch vascular ring. Pediatr Radiol. 46(13):1866-1872, 2016
                                                                  4. Ramos-Duran L et al: Developmental aortic arch anomalies in infants and children assessed with CT angiography. AJR Am J Roentgenol. 198(5):W466-74, 2012
                                                                  5. Dillman JR et al: Common and uncommon vascular rings and slings: a multi-modality review. Pediatr Radiol. 41(11):1440-54; quiz 1489-90, 2011
                                                                  6. Kanne JP et al: Right aortic arch and its variants. J Cardiovasc Comput Tomogr. 4(5):293-300, 2010
                                                                  7. Kellenberger CJ: Aortic arch malformations. Pediatr Radiol. 40(6):876-84, 2010
                                                                  8. Holmes KW et al: Magnetic resonance imaging of a distorted left subclavian artery course: an important clue to an unusual type of double aortic arch. Pediatr Cardiol. 27(3):316-20, 2006
                                                                  9. Chan MS et al: Angiography and dynamic airway evaluation with MDCT in the diagnosis of double aortic arch associated with tracheomalacia. AJR Am J Roentgenol. 185(5):1248-51, 2005