Cardiothoracic & vascular anesthesia

Clinical Presentation and Management of the Cervical Aortic Arch in the Adult Population: A Review of Case Reports

J Cardiothorac Vasc AnesthPublished Systematic review of case reports

Authors' conclusion

CAA is an uncommon congenital abnormality that presents challenges in diagnosis and treatment due to its high anatomical variability, diverse clinical manifestations, and presence of concomitant diseases. Surgery seems to be a safe and effective option for the resolution of symptoms.

Study context

Population
Adults (≥18 years) with cervical aortic arch (CAA)61 articles
Participants
71 adults
Outcome
Clinical and surgical characteristics of CAA
Methodological detailscase reports and series, PubMed, ScienceDirect, SciELO, DOAJ and Cochrane Library searched until December 2023; English language
  • Case reports and series
  • PubMed, ScienceDirect, SciELO, DOAJ and Cochrane Library searched until December 2023; English language

Pooled result

As reported in the abstract

Mean age (years)
38.6 ± 15.4
Female
67.1% (47/70)
Left-sided CAA
48/71, 67.6%
Concomitant arch aneurysm
62.0% (44/71)
Asymptomatic
45.7% (32/70)
Symptomatic with tracheal/oesophageal vascular-induced compression symptoms
60.5% (23/38)
Surgery performed (of 67 cases reporting treatment)
42 patients (62.7%)
Endovascular approach among surgically treated
5 patients (11.9%)

Original publication

Clinical Presentation and Management of the Cervical Aortic Arch in the Adult Population: A Review of Case Reports. J Cardiothorac Vasc Anesth. Published 2 April 2024. doi:10.1053/j.jvca.2024.03.041

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