Abstract

A 27-year-old woman with slight mental retardation underwent a magnetic resonance imaging scan of the head in an outpatient clinic. In that examination, the neurocranium was unremarkable, but dissection of the right common carotid artery (CC) was suspected. The patient was transferred to our hospital. A Doppler ultrasound examination and magnetic resonance angiography of the aorta and the supraaortic vessels were performed. On physical examination, palpitations in the right superior thoracic aperture were noted. Magnetic resonance angiography revealed a complex vascular anomaly: a retroesophageal aortic arch extending cranially to the level of the right thoracic aperture. No brachiocephalic …

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