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Open Access Case report

Comprehensive three-dimensional analysis of right-sided aortic arch with multiple vascular anomalies

Chan-Hee Lee, Jang-Won Son and Jong-Seon Park*

Author Affiliations

Department of Cardiology, Yeungnam University Hospital, 170, Hyeonchungro, Nam-gu, Daegu 705-717, Korea

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BMC Cardiovascular Disorders 2014, 14:104  doi:10.1186/1471-2261-14-104

Published: 20 August 2014



Right-sided aortic arch is a rare congenital defect usually diagnosed incidentally in adults; it is often asymptomatic unless aneurismal disease develops. In half the cases, an aberrant left subclavian artery arises from a Kommerell’s diverticulum; in these cases, congenital heart anomaly is very rarely present.

Case presentation

We report a case of incidentally-detected right-sided aortic arch with multiple vascular anomalies including left subclavian artery originating from a Kommerell’s diverticulum, supra-sinus origin of coronary arteries and coronary arteriovenous fistula.


Through comprehensive 3-dimensional reconstruction of the aortic arch and surrounding structures we defined anatomical relationships, which is useful for follow-up and treatment.

Right-sided aortic arch; Kommerell’s diverticulum; 3-dimensional reconstruction