Indian Journal of Critical Care Medicine

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Related articles

VOLUME 25 , ISSUE 6 ( June, 2021 ) > List of Articles

CASE REPORT

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.

DOI: 10.5005/jp-journals-10071-23860

License: CC BY-NC 4.0

Published Online: 01-06-2021

Copyright Statement:  Copyright © 2021; The Author(s).


Abstract

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.


HTML PDF Share
  1. 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.
  2. 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.
  3. 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.
  4. Reid D. Three examples of a right aortic arch. J Anat Physiol 1914;48:174–181. PMID-17232989
  5. Dasari TW, Paliotta M. Cervical aortic arch. N Engl J Med 2014;371:e38. DOI: 10.1056/NEJMicm1400771.
  6. 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.
  7. 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
  8. 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.
  9. 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.
  10. Armin E, David F, Heinrich D. Central airway obstruction. Am J Resp Crit Care Med 2004;169:1279. DOI: 10.1164/rccm.200210-1181SO.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.