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Multimodality and multiterritory vascular imaging in a toddler with acquired, complex, and unusual aortic arch anatomy
Author(s) -
Bhat Aarti H.,
Trent Erin,
Kapur Raj P.,
Permut Lester
Publication year - 2019
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/echo.14475
Subject(s) - medicine , hypoplasia , aortic arch , toddler , radiology , transthoracic echocardiogram , arch , anatomy , cardiology , aorta , psychology , developmental psychology , civil engineering , engineering
A 20‐month‐old otherwise well child with no cardiac history presented for evaluation of a recent onset cardiac murmur. His initial examination revealed significant right carotid bruit along with a transthoracic echocardiogram (ECHO) concerning for severe transverse arch hypoplasia with unusual appearance and left ventricular hypertrophy with preserved function. This report demonstrates the utility of various modalities including echo, CT, and MRI to assess vascular structures in different vascular territories in a challenging patient who underwent a satisfactory arch repair with unexpected pathology findings.