چکیده (انگلیسی):

Introduction: Cervical aortic arch is a rare anomaly where-in the ascending aorta arises normally from
the left ventricle and extends in such a fashion that the aortic arch is situated high in the neck on either
side. This anomaly should be suspected in any child exhibiting a pulsatile swelling in the neck.
Case commentary: An 8 year old child presented with a pulsatile swelling on the right side of the neck
since birth. CT angiography revealed right sided cervical aortic arch at C4-C5 level. The left common
carotid artery arose from the ascending aorta at D4 with the right external and internal carotid arteries
originating separately from the cervical arch. The right and left subclavian arteries arose from the
descending aorta at D1 and D4 respectively.
Discussion: Although most patients with cervical aortic arch are asymptomatic, some have dysphagia
from oesophageal compression and respiratory distress from tracheal compression. There are many
anatomical variations in cervical aortic arch as mentioned by Haughton. This case is Haughton type A
because apart from the presence of right cervical aortic arch, 2 additional oddities in the form of leftward
descending aorta and abnormal origin of the left common carotid artery from ascending aorta with
absence of right common carotid artery are noted.
Conclusion: Cervical aortic arch is not a very commonly encountered entity and can be quite vexing for
those who are seeing such a case in OPD for the first time. Although cervical aortic arch anomalies have
been reported in literature, published reports of new cases will help to increase awareness regarding this
anomaly and lead to a swift and efficient diagnosis and management.