Adult ; Aorta, Thoracic ; abnormalities ; surgery ; Heart Arrest, Induced ; Humans ; Male

The cisterna chyli, a dilated lymphatic sac in the retrocrural space, is usually located to the right of the aorta. We report a case of a left-sided cisterna chyli, which was incidentally detected on the radiologic examinations of a preoperative workup for cholangiocarcinoma. Computed tomography (CT) and magnetic resonance (MR) images revealed a cisterna chyli measuring 2.5 cm in length in the left retrocrural space. The dilated lumbar lymphatics joined with the cisterna chyli, which was continuous with the left-sided thoracic duct. To the best of our knowledge, this is the second antemortem case of a left-sided cisterna chyli in literature. The cisterna chyli can mimic retrocrural lymphadenopathy, solid tumor with cystic degeneration, abscess or hematoma. The left-sided cisterna chyli should be referred to as a structure so as to be cautious in surgical approach.
Abscess ; Aorta ; Cholangiocarcinoma ; Hematoma ; Lymphatic Abnormalities ; Lymphatic Diseases ; Thoracic Duct

A right-sided aortic arch and Kommerell's diverticulum, remnants of the left dorsal aortic arch in the circulation of the embryo, are uncommon congenital defects of the aorta. They may be asymptomatic in most cases, but symptoms are manifested by compressing mediastinal structures or are related to congenital heart anomalies. If aneurismal dilatation of the diverticulum presents with rupture, it is lethal. We report a case of esophageal compression by a right-sided aortic arch and Kommerell's diverticulum that mimicked an esophageal submucosal tumor in a patient who complained of symptoms during the past ten years of food retention in the upper thorax when a bolus of food was ingested.
Aorta ; Aorta, Thoracic ; Congenital Abnormalities ; Dilatation ; Diverticulum ; Embryonic Structures ; Heart ; Humans ; Retention (Psychology) ; Rupture ; Thorax

An aberrant right subclavian artery (ARSA) is the most common vascular abnormality of the aortic arch and is associated with development of aneurysms in 3-8% of these anomalies. In this case report, we describe an 84-year-old man with a symptomatic ARSA treated with staged hybrid procedure combining surgical replacement of the ascending aorta and bilateral carotid-to-subclavian artery bypass with implantation of a stent graft in the aortic arch and descending aorta. Our case suggests that a less invasive hybrid therapy can be performed successfully for the treatment of ARSA with aneurysmal change in patients at high surgical risk.
Aneurysm ; Aorta ; Aorta, Thoracic ; Aortic Aneurysm, Thoracic ; Arteries ; Cardiovascular Abnormalities ; Endovascular Procedures ; Humans ; Stents ; Subclavian Artery ; Transplants

We present an unusual case of vascular sling, tracheal stenosis by complete cartilaginous ring, and aberrant left subclavian artery with right aortic arch that underwent successful surgical repair for the sling. These abnormalities were suspected from unusual multiple indentations found on esophagogram. Complete preoperative diagnosis was established with chest computerized tomogram combined with angiography.
Aorta, Thoracic/abnormalities* ; Case Report ; Child ; Human ; Male ; Pulmonary Artery/abnormalities* ; Subclavian Artery/abnormalities* ; Tracheal Stenosis/diagnosis ; Tracheal Stenosis/congenital

Aorta, Thoracic ; abnormalities ; Child, Preschool ; Ductus Arteriosus, Patent ; complications ; Female ; Humans ; Pulmonary Artery ; abnormalities ; Subclavian Artery ; abnormalities

Aorta, Thoracic ; abnormalities ; Esophageal Neoplasms ; diagnosis ; Humans ; Leiomyoma ; diagnosis ; Male ; Middle Aged

Angiography ; Aorta, Thoracic ; abnormalities ; diagnostic imaging ; Child, Preschool ; Electrocardiography ; Female ; Humans ; Tomography, X-Ray Computed

Right transradial coronary catheterization is very popular and performed by many clinicians with few complications. An aberrant right subclavian artery (arteria lusoria) arising from the descending thoracic aorta is an uncommon congenital variant. Here, we present the case of a patient with an aberrant right subclavian artery dissection after right transradial coronary catheterization, which is a rare complication. We diagnosed the complication by chest CT, which showed the dissection of the aberrant right subclavian artery. Dissection of an aberrant right subclavian artery is a rare complication of right transradial coronary angiograph.
Aneurysm ; Angiography ; Aorta, Thoracic ; Cardiovascular Abnormalities ; Catheterization ; Catheters ; Deglutition Disorders ; Humans ; Subclavian Artery ; Thorax

Adolescent ; Adult ; Aorta, Thoracic ; abnormalities ; Diagnostic Errors ; Essential Hypertension ; Female ; Humans ; Hypertension ; diagnosis ; Male ; Middle Aged