Upper Airway Obstruction in an Adult: An Unusual Presentation—Dissection of the Cervical Aortic Arch
Rajkumar S N Satyavolu, Roy Fischer, Rajaram Ramadoss
Citation Information :
Satyavolu RS, Fischer R, Ramadoss R. Upper Airway Obstruction in an Adult: An Unusual Presentation—Dissection of the Cervical Aortic Arch. Indian J Crit Care Med 2021; 25 (6):732-734.
Cervical aortic arch is a rare congenital anomaly. It is usually asymptomatic and an incidental finding but can have symptoms of cough, hoarseness of voice, and dysphagia. Although an association with aneurysmal dilatation is described, dissection of a cervical aortic arch is hitherto an unreported complication. We report a 46-year-old woman recently diagnosed with a cervical aortic arch, who presented with an acute upper airway obstruction leading to cardiorespiratory arrest secondary to spontaneous dissection of the cervical aortic arch.
Morris R, Ruttley M. Left cervical aortic arch associated with aortic aneurysm. Br Heart J 1978;40:87–90. DOI: 10.1136/hrt.40.1.87.
Kumar S, Mandalam KR, Unni M, Roy S, Gupta AK, Rao VRK. Left cervical arch and associated anomalies. Cardiovasc Intervent Radiol 1989;12:88–91. DOI: 10.1007/BF02577395.
Pearson GD, Kan JS, Neill CA, Midgley FM, Gardner TJ, Hougen TJ. Cervical aortic arch with aneurysm formation. Am J Cardiol 1997;79:112–114. DOI: 10.1016/s0002-9149(96)00695-9.
Reid D. Three examples of a right aortic arch. J Anat Physiol 1914;48:174–181. PMID-17232989
Dasari TW, Paliotta M. Cervical aortic arch. N Engl J Med 2014;371:e38. DOI: 10.1056/NEJMicm1400771.
Cooley DA, Mullins CE, Gooch JB. Aneurysm of right-sided cervical arch; surgical removal and graft replacement. J Thorac Cardio Vasc Surg 1976;72:106–108. DOI: 10.1016/S0022-5223(19)40100-1.
Cao P, Angelini P, Colonna L, Cristallo E, Cooley DA. Cervical aortic arch with medio cystic necrosis. Bull Texas Heart Inst 1980;7:188–193. PMID-15216272
Momma K, Matsuoka R, Takao A. Aortic arch anomalies associated with chromosome 22q11 deletion. Paediatr Cardiol 1999;20(2):97–102. DOI: 10.1007/s002469900414.
Wiegand S, Dietz A. Vaskuläre Malformationen im Hals-Nasen-Ohren-Bereich [Vascular malformations of the head and neck]. Laryngorhinootologie 2021;100(1):65–76. DOI: 10.1055/a-1221-5876.
Armin E, David F, Heinrich D. Central airway obstruction. Am J Resp Crit Care Med 2004;169:1279. DOI: 10.1164/rccm.200210-1181SO.