A right-sided aortic arch is a rare congenital defect of the aorta. A 56-year-old Caucasian male patient was hospitalized with coronary artery disease (stable angina CCS II, postinfarction cardiosclerosis), stage II hypertension, impaired glucose tolerance and congestive heart failure NYHA class II. Contrast-enhanced ECG-gated multi-slice computed tomography was performed on Siemens SOMATOM Force Germany and revealed right-sided aortic arch, aberrant left subclavian artery with Kommerell’s diverticulum and kinking of the thoracic aorta. This case is an example of the great advantages of knowing human anatomy and embryology in clinical practice. Modern diagnostic modalities give an accurate information on congenital variants and anomalies of the aortic arch and its branch that is vital for vascular surgery in the thorax, head and neck region.
Alexander Mrochek1, Sergey Kabak2, Hanna Model3, Yuliya Melnichenko2, Tamara Kalenchic4, Natallia Didenko5
1 Republican Scientific and Practical Centre “Cardiology”, Cardiologist of the Ministry of Health of the Republic of Belarus, Academician of National Academy of Science of Belarus
2 Human Morphology Department, Belarusian State Medical University, Minsk, Belarus
3 Radiologist of the Republican Scientific and Practical Centre “Cardiology”, Minsk, Belarus
4 Medical Rehabilitation and Physiotherapy Department, Belarusian State Medical University, Minsk, Belarus
5 Center of Diagnostic and Rehabilitation of Gazprom transgaz, Moskow, Russian Federation