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Right-sided aortic arch is a rare anatomical variant in which the aortic arch is on the right side rather than on the left. During normal embryonic development, the aortic arch is formed by the left fourth aortic arch and the left dorsal aorta. In people with a right-sided aortic arch, instead the right dorsal aorta persists and the distal left ...
A double aortic arch; occurs with the development of an abnormal right aortic arch in addition to the left aortic arch, forming a vascular ring around the trachea and esophagus, which usually causes difficulty breathing and swallowing. Occasionally, the entire right dorsal aorta abnormally persists and the left dorsal aorta regresses in which ...
The aortic arch is the connection between the ascending and descending aorta, and its central part is formed by the left 4th aortic arch during early development. [12] The ductus arteriosus connects to the lower part of the arch in foetal life. This allows blood from the right ventricle to mostly bypass the pulmonary vessels as they develop.
A less common ring is present with a right aortic arch instead of the usual left-sided aortic arch. This compresses the esophagus and trachea because of the persistence of a ductal ligament (from fetal circulation) that may connect between the aorta on the front and the left subclavian artery posteriorly going to the left arm. [citation needed]
Isolated double aortic arch without associated intracardiac defects is a vascular anomaly that can be corrected without the support of cardiopulmonary bypass. [citation needed] For surgical division of the narrower left aortic arch in a typical double arch patient with a dominant right arch, the patient is placed on the right side.
It is the first branch of the aortic arch. [3] Soon after it emerges, the brachiocephalic artery divides into the right common carotid artery and the right subclavian artery. [4] There is no brachiocephalic artery for the left side of the body. The left common carotid artery and the left subclavian artery come directly off the aortic arch.
The arteries of the fourth arch, which project between the nerves of the fourth and sixth arches, become the left-sided arch of the aorta and the right subclavian artery. The arteries of the sixth arch persist as the ductus arteriosus on the left, and are obliterated on the right. [10]: 318–323
The pattern of pulse abnormalities is dependent upon the classification; e.g., for type B interrupted aortic arch, the right brachial pulse will be palpable and the left brachial and femoral pulses will be impalpable due to closure of the ductus arteriosus. [3] Rarely, an interrupted aortic arch can be associated with an intracranial aneurysm. [6]