Cardiothoracic & vascular anesthesia
Clinical Presentation and Management of the Cervical Aortic Arch in the Adult Population: A 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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