CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2022; 32(04): 568-575
DOI: 10.1055/s-0042-1757742
Pictorial Essay

Thoracic Vascular Variants and Anomalies: Imaging Findings, Review of the Embryology, and Clinical Features

1   Radiology Universidad Pontificia Bolivariana, Colombia
,
Uribe Ricardo
2   Radiology EMMSA, Colombia
,
Hinestroza Carlos
1   Radiology Universidad Pontificia Bolivariana, Colombia
,
Mesa Paula
2   Radiology EMMSA, Colombia
,
Florez Katherine
2   Radiology EMMSA, Colombia
› Author Affiliations

Abstract

Thoracic vascular malformations are a set of complex congenital abnormalities that result in major alterations of the patient's anatomy. It can be discovered incidentally or the anomalies may generate heart failure with a right-to-left shunt, dysphagia, dyspnea, stridor, cough, recurrent bronchopulmonary infections, hypoxemia, paradoxical emboli, and occasionally apneas and massive hemothorax.

The knowledge of the embryology, and the normal development of the vascular structures of the thorax, allows to understand these abnormalities—and thus helps in making an accurate diagnosis—with its possible complications, symptoms, and treatments for the patient. The following is a review of the most common thoracic vascular malformations and their imaging findings.



Publication History

Article published online:
28 November 2022

© 2022. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 
  • References

  • 1 Hanneman K, Newman B, Chan F. Congenital variants and anomalies of the aortic arch. Radiographics 2017; 37 (01) 32-51
  • 2 Maldonado JA, Henry T, Gutiérrez FR. Congenital thoracic vascular anomalies. Radiol Clin North Am 2010; 48 (01) 85-115
  • 3 Ruano CA, Marinho-da-Silva A, Donato P. Congenital thoracic venous anomalies in adults: morphologic MR imaging. Curr Probl Diagn Radiol 2015; 44 (04) 337-345
  • 4 Sonavane SK, Milner DM, Singh SP, Abdel Aal AK, Shahir KS, Chaturvedi A. Comprehensive imaging review of the superior vena cava. Radiographics 2015; 35 (07) 1873-1892
  • 5 van der Weijde E, Bakker OJ, Sonker U, Heijmen RH. Isolated left vertebral artery and its consequences for aortic arch repair. J Vasc Surg Cases Innov Tech 2019; 5 (03) 369-371
  • 6 Yuan S-M. Aberrant origin of vertebral artery and its clinical implications. Rev Bras Cir Cardiovasc 2016; 31 (01) 52-59
  • 7 Karaosmanoglu AD, Khawaja RDA, Onur MR, Kalra MK. CT and MRI of aortic coarctation: pre- and postsurgical findings. AJR Am J Roentgenol 2015; 204 (03) W224-33
  • 8 Karacan A, Türkvatan A, Karacan K. Anatomical variations of aortic arch branching: evaluation with computed tomographic angiography. Cardiol Young 2014; 24 (03) 485-493
  • 9 Kurochka S, Marques P, Carvalho R, Sanches M, Moreira A. Innominate artery compression syndrome of the trachea. 10/08/2011. https://www.eurorad.org/case/9331 Accessed July 5, 2022
  • 10 Fawcett SL, Gomez AC, Hughes JA, Set P. Anatomical variation in the position of the brachiocephalic trunk (innominate artery) with respect to the trachea: a computed tomography-based study and literature review of innominate artery compression syndrome. Clin Anat 2010; 23 (01) 61-69
  • 11 Abad P, Mesa S, Uribe R, Alvarado AM, Isaza S. Anillos vasculares, hallazgos por resonancia magnética. Rev Colomb Radiol 2018; 29 (03) 4949-4956
  • 12 Priya S, Thomas R, Nagpal P, Sharma A, Steigner M. Congenital anomalies of the aortic arch. Cardiovasc Diagn Ther 2018; 8 (Suppl. 01) S26-S44
  • 13 Hutchison SJ, Merchant N. Principles of Cardiac and Vascular Computed Tomography. Philadelphia, PA: Saunders/Elsevier; 2015
  • 14 Demos TC, Posniak HV, Pierce KL, Olson MC, Muscato M. Venous anomalies of the thorax. AJR Am J Roentgenol 2004; 182 (05) 1139-1150
  • 15 Farazi-Chongouki C, Dalianoudis I, Ninos A. et al. Double superior vena cava: presentation of two cases and review of the literature. Acta Chir Belg 2019; 119 (05) 316-321
  • 16 Taha Ali TF, Ghareep A-N. Anatomical variant of large mediastinal veins: incidental findings on MDCT chest. Egypt J Radiol Nucl Med 2017; 48 (01) 81-86
  • 17 Urhan Giraldo ÁV, Uribe González R. Persistencia de la vena cava superior izquierda: presentación de un caso. Rev Colomb Radiol 2017; 28: 4486-91
  • 18 Azizova A, Onder O, Arslan S, Ardali S, Hazirolan T. Persistent left superior vena cava: clinical importance and differential diagnoses. Insights Imaging 2020; 11 (01) 110
  • 19 Mata J, Cáceres J, Alegret X, Coscojuela P, De Marcos JA. Imaging of the azygos lobe: normal anatomy and variations. AJR Am J Roentgenol 1991; 156 (05) 931-937
  • 20 Lin F, Xu Y, Liu L. Pulmonary azygous lobe. QJM 2018; 111 (02) 137-137