Radiological evaluation and surgical management of an aortic arch interruption, on the subject of a case




Alejandro Vallecillo-Torres, Servicio de Radiología, Hospital San Juan de Dios, Caja Costarricense de Seguro Social, San José, Costa Rica
Andrés Soto-Rodríguez, Unidad de Investigación, Hospital San Juan de Dios,Hospital Nacional de Niños. Caja Costarricense de Seguro Social, San José, Costa Rica
Sharon Mendoza-Solís, Servicio de Cirugía Cardiovascular, Hospital Nacional de Niños. Caja Costarricense de Seguro Social, San José, Costa Rica


Aortic arch interruption is a rare congenital vascular malformation. This pathology consists of an absence of fusion between the ascending and descending aorta. This disease is often associated with other cardiac malformations such as ventricular septal defect and a patent ductus arteriosus. The radiological evaluation helps, not only in the diagnosis but also in the planning of the most appropriate surgical correction. Due to the infrequency of this entity, the treating physician may need some type of support for the diagnostic requirements necessary for the approach of this pathology by the surgeons. Chest radiography, echocardiography, computed tomography, and magnetic resonance imaging are suitable techniques for the diagnosis of this pathology. Each of these has specific signs that must be known to obtain the greatest amount of information for the benefit of the patient.



Keywords: Aorta; Aortic diseases; Congenital abnormalities; Pediatrics