Dissection of retroesophageal aortic diverticulum and descending aorta in a patient with right aortic arch: magnetic resonance demonstration

Cardiovasc Intervent Radiol. 1996 Nov-Dec;19(6):438-41. doi: 10.1007/BF02577635.

Abstract

An acute aortic dissection involved the retroesophageal aortic diverticulum (RAD) and descending thoracic aorta in a patient with right aortic arch. The RAD, which was separated into false and true lumens by an intimal flap-the classic diagnostic sign of aortic dissection-was overlooked on transesophageal echocardiography and computed tomography but was clearly depicted on magnetic resonance imaging (MRI). It was found that MRI can delineate the anatomy of a congenital arch anomaly complicated by great vessels disease.

Publication types

  • Case Reports

MeSH terms

  • Aneurysm, False / diagnosis*
  • Aorta, Thoracic / abnormalities*
  • Aortic Aneurysm, Thoracic / diagnosis*
  • Aortic Diseases / diagnosis*
  • Aortic Dissection / diagnosis*
  • Diverticulum / diagnosis*
  • Echocardiography, Transesophageal
  • Humans
  • Magnetic Resonance Imaging*
  • Male
  • Middle Aged
  • Tomography, X-Ray Computed