Rare pattern of aortic arch branching in a patient with operated congenital heart disease

Julia Geiger*, Raoul Arnold, Tobias Baumann, Markus Uhl, Bernd A. Jung, Mathias Langer, Michael Markl

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


Magnetic resonance imaging (MRI) has become one of the state-of-the-art examinations for the primary diagnostics and follow-up of patients with congenital cardiac defects. The evaluation of the altered cardiovascular system, however, remains a diagnostic challenge. We present MRI findings in a boy with a complex congenital heart defect. To reveal postoperative changes in blood flow dynamics, time-resolved contrast-enhanced 3D MR angiography (CE-MRA) was performed, providing information on altered vessel anatomy and vascular dynamics using spatio-temporal image acceleration. Additionally, an exceptional and rarely described supraaortic vessel variation was detected, consisting of five independent supraaortic arteries. The knowledge of this unusual vessel anomaly detected by CE-MRA might be significant in the case of future therapeutic interventions.

Original languageEnglish (US)
Pages (from-to)654-656
Number of pages3
JournalJournal of Cardiovascular Medicine
Issue number8
StatePublished - Aug 1 2009


  • Blood flow dynamics
  • Congenital heart defect
  • Contrast-enhanced 3D MR angiography
  • Supraaortic arteries

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine


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