University of Missouri, Kansas City School of Medicine, Kansas City, MO, USA.
J Thorac Imaging. 2010 Nov;25(4):W124-7. doi: 10.1097/RTI.0b013e3181cecffa.
We present a rare case of cervical aortic arch with associated spontaneously ruptured thoracic aortic aneurysm. Our case is unique in that the apex of the arch was at the level of the second cervical vertebra, the most cranial location of all reported cases. To our knowledge, this case represents the first "oropharyngeal cervical aortic arch" ever described. We will briefly discuss the embryology of the normal thoracic aorta and the postulated embryology of the cervical aortic arch. We will describe the Haughton classification of cervical aortic arches and discuss typical associated conditions, emphasizing the key findings in these complex anomalies.
我们呈现了一例罕见的伴有自发性破裂的胸主动脉瘤的颈主动脉弓病例。我们的病例独特之处在于，弓的顶点位于第二颈椎水平，这是所有报道病例中颅顶最高的位置。据我们所知，这是首例描述的“口咽颈主动脉弓”。我们将简要讨论正常胸主动脉的胚胎学以及颈主动脉弓的假定胚胎学。我们将描述 Haughton 分类的颈主动脉弓，并讨论典型的相关情况，强调这些复杂异常中的关键发现。
