Uncommon congenital extracardiac vascular anomalies detected on MSCT (Multi-Slice Computed Tomography) aortic angiography with 64-multislice technology

AbstractObjectiveThe purpose of this study was to evaluate the role of CT angiography in different encountered congenital vascular anomalies of pediatric age groups using 64 multislice CT scanner.Subjective and methodsThrough one year, a total of 15 patients having congenital extracardiac anomalies were encountered from those attending big trauma and emergency center and were studied in this work. Each patient’s parent was thoroughly asked about the detailed clinical history after reviewing the referring imaging request and laboratory findings. Exclusion criteria for CT were as follows: previous allergic reactions to iodine contrast media and severe renal insufficiency. CT examination was performed using 64 multislice CT machine.ResultsCTA examination was performed in a total of 15 patients. The age of the patients was ranging from 2days to 14yrs and 5cases were females. Four cases came with cyanosis; one case came with follow up after operation for transposition of great arteries, while the remaining cases were suffering from medical problems such as respiratory distress or hypertension. Aortic arch hypoplasia, right sided aortic arch with mirror image or with aberrant left subclavian artery, hypoplastic left pulmonary artery with left sided aortic arch and aberrant right subclavian artery, hypoplastic left heart chambers, retrotracheal left pulmonary artery with patent ductus arteriosus (PDA), right superior partial anomalous pulmonary venous drainage (PAPVD) with ASD sinus venosum, postoperative assessment of transposition of great arteries (TGA), fibromuscular dysplasia involving the renal and common iliac arteries, and bilateral double renal arteries with ectopic right kidney were the different extracardiac vascular anomalies encountered in this work.ConclusionCTA provides an excellent means to detect a number of extracardiac vascular anomalies and allows accurate and fast noninvasive characterization of extracardiac vascular anatomy. It is a helpful tool in establishing the primary diagnosis, defining anatomic landmarks and relationships, identifying vascular anomalies and helping in postoperative follow-up