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Ductus Diverticulum
Brett W. Carter, MD, CPPSSachin Saboo, MD, FRCR
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          TERMINOLOGY

          • Synonyms

            • Ductus bulge; ductus bump
          • Definitions

            • Smooth focal bulge along anteromedial aspect of aortic isthmus at site of obliterated ductus arteriosus/ligamentum arteriosum

          IMAGING

          • General Features

            • Imaging Recommendations

              • Radiographic Findings

                • CT Findings

                  • MR Findings

                    • Angiographic Findings

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          • Staging, Grading, & Classification

                            • Microscopic Features

                              CLINICAL ISSUES

                              • Presentation

                                • Demographics

                                  • Natural History & Prognosis

                                    • Treatment

                                      DIAGNOSTIC CHECKLIST

                                      • Image Interpretation Pearls

                                        Selected References

                                        1. Rowe SP et al: MDCT of ductus diverticulum: 3D cinematic rendering to enhance understanding of anatomic configuration and avoid misinterpretation as traumatic aortic injury. Emerg Radiol. 25(2):209-13, 2018
                                        2. Nagpal P et al: Advances in Imaging and Management Trends of Traumatic Aortic Injuries. Cardiovasc Intervent Radiol. 40(5):643-654, 2017
                                        3. Hyung Ann J et al: Morphologic Evaluation of Ductus Diverticulum Using Multi - Detector Computed Tomography: Comparison with Traumatic Pseudoaneurysm of the Aortic Isthmus. Iran J Radiol. 13(4):e38016, 2016
                                        4. Modi A et al: Dissection from ductus diverticulum presenting as type A intramural hematoma. Asian Cardiovasc Thorac Ann. 22(1):107, 2014
                                        5. Agarwal PP et al: Multidetector CT of thoracic aortic aneurysms. Radiographics. 29(2):537-52, 2009
                                        6. Vogler T et al: [Diverticulum of the ductus arteriosus. Cause of traumatic aortic ruptures?.] Chirurg. 78(1):47-51, 2007
                                        7. Saito N et al: Successful endovascular repair of an aneurysm of the ductus diverticulum with a branched stent graft: case report and review of literature. J Vasc Surg. 40(6):1228-33, 2004
                                        8. Gotway MB et al: Thoracic aorta imaging with multisclice CT. Radiol Clin North Am. 41(3):521-43, 2003
                                        9. Sugimoto T et al: Aneurysm of the ductus diverticulum in adults: the diagnostic value of three-dimensional computed tomographic scanning. Jpn J Thorac Cardiovasc Surg. 51(10):524-7, 2003
                                        10. Batra P et al: Pitfalls in the diagnosis of thoracic aortic dissection at CT angiography. Radiographics. 20(2):309-20, 2000
                                        11. Ferrera PC et al: Ductus diverticulum interpreted as traumatic aortic injury. Am J Emerg Med. 15(4):371-2, 1997
                                        12. Fisher RG et al: "Lumps" and "bumps" that mimic acute aortic and brachiocephalic vessel injury. Radiographics. 17(4):825-34, 1997
                                        13. Oxorn D et al: The ductus diverticulum: false-positive angiographic diagnosis of traumatic aortic disruption. J Cardiothorac Vasc Anesth. 11(1):86-8, 1997
                                        14. Grollman JH: The aortic diverticulum: a remnant of the partially involuted dorsal aortic root. Cardiovasc Intervent Radiol. 12(1):14-7, 1989
                                        15. Morse SS et al: Traumatic aortic rupture: false-positive aortographic diagnosis due to atypical ductus diverticulum. AJR Am J Roentgenol. 150(4):793-6, 1988
                                        16. Goodman PC et al: Angiographic evaluation of the ductus diverticulum. Cardiovasc Intervent Radiol. 5(1):1-4, 1982
                                        Related Anatomy
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                                        Related Differential Diagnoses
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                                        References
                                        Tables

                                        Tables

                                        KEY FACTS

                                        • Terminology

                                          • Imaging

                                            • Top Differential Diagnoses

                                              • Clinical Issues

                                                TERMINOLOGY

                                                • Synonyms

                                                  • Ductus bulge; ductus bump
                                                • Definitions

                                                  • Smooth focal bulge along anteromedial aspect of aortic isthmus at site of obliterated ductus arteriosus/ligamentum arteriosum

                                                IMAGING

                                                • General Features

                                                  • Imaging Recommendations

                                                    • Radiographic Findings

                                                      • CT Findings

                                                        • MR Findings

                                                          • Angiographic Findings

                                                            DIFFERENTIAL DIAGNOSIS

                                                              PATHOLOGY

                                                              • General Features

                                                                • Staging, Grading, & Classification

                                                                  • Microscopic Features

                                                                    CLINICAL ISSUES

                                                                    • Presentation

                                                                      • Demographics

                                                                        • Natural History & Prognosis

                                                                          • Treatment

                                                                            DIAGNOSTIC CHECKLIST

                                                                            • Image Interpretation Pearls

                                                                              Selected References

                                                                              1. Rowe SP et al: MDCT of ductus diverticulum: 3D cinematic rendering to enhance understanding of anatomic configuration and avoid misinterpretation as traumatic aortic injury. Emerg Radiol. 25(2):209-13, 2018
                                                                              2. Nagpal P et al: Advances in Imaging and Management Trends of Traumatic Aortic Injuries. Cardiovasc Intervent Radiol. 40(5):643-654, 2017
                                                                              3. Hyung Ann J et al: Morphologic Evaluation of Ductus Diverticulum Using Multi - Detector Computed Tomography: Comparison with Traumatic Pseudoaneurysm of the Aortic Isthmus. Iran J Radiol. 13(4):e38016, 2016
                                                                              4. Modi A et al: Dissection from ductus diverticulum presenting as type A intramural hematoma. Asian Cardiovasc Thorac Ann. 22(1):107, 2014
                                                                              5. Agarwal PP et al: Multidetector CT of thoracic aortic aneurysms. Radiographics. 29(2):537-52, 2009
                                                                              6. Vogler T et al: [Diverticulum of the ductus arteriosus. Cause of traumatic aortic ruptures?.] Chirurg. 78(1):47-51, 2007
                                                                              7. Saito N et al: Successful endovascular repair of an aneurysm of the ductus diverticulum with a branched stent graft: case report and review of literature. J Vasc Surg. 40(6):1228-33, 2004
                                                                              8. Gotway MB et al: Thoracic aorta imaging with multisclice CT. Radiol Clin North Am. 41(3):521-43, 2003
                                                                              9. Sugimoto T et al: Aneurysm of the ductus diverticulum in adults: the diagnostic value of three-dimensional computed tomographic scanning. Jpn J Thorac Cardiovasc Surg. 51(10):524-7, 2003
                                                                              10. Batra P et al: Pitfalls in the diagnosis of thoracic aortic dissection at CT angiography. Radiographics. 20(2):309-20, 2000
                                                                              11. Ferrera PC et al: Ductus diverticulum interpreted as traumatic aortic injury. Am J Emerg Med. 15(4):371-2, 1997
                                                                              12. Fisher RG et al: "Lumps" and "bumps" that mimic acute aortic and brachiocephalic vessel injury. Radiographics. 17(4):825-34, 1997
                                                                              13. Oxorn D et al: The ductus diverticulum: false-positive angiographic diagnosis of traumatic aortic disruption. J Cardiothorac Vasc Anesth. 11(1):86-8, 1997
                                                                              14. Grollman JH: The aortic diverticulum: a remnant of the partially involuted dorsal aortic root. Cardiovasc Intervent Radiol. 12(1):14-7, 1989
                                                                              15. Morse SS et al: Traumatic aortic rupture: false-positive aortographic diagnosis due to atypical ductus diverticulum. AJR Am J Roentgenol. 150(4):793-6, 1988
                                                                              16. Goodman PC et al: Angiographic evaluation of the ductus diverticulum. Cardiovasc Intervent Radiol. 5(1):1-4, 1982