A 20-year-old man with a left ascending thoracic VA

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Presentation transcript:

A 20-year-old man with a left ascending thoracic VA A 20-year-old man with a left ascending thoracic VA. A, DSA, left T2 ISA injection, posteroanterior projection, subtracted view. A 20-year-old man with a left ascending thoracic VA. A, DSA, left T2 ISA injection, posteroanterior projection, subtracted view. The T2 ISA (white arrow) provides the second intercostal artery (c) before crossing through the T2 costotransverse space (white arrowhead). It then branches off contributions for the T1 (b) and C7 (a) ISAs and continues cranially as the cervical VA (black arrow). B, DSA, left T2 ISA injection, posteroanterior projection, nonsubtracted view. The asterisk indicates the approximate level of the origin of the left subclavian artery from the aortic arch, illustrating the distance separating the latter from the left T2 ostium. C, CT, axial view at the T2 level, shows a marked asymmetry of the size of the T2 costotransverse spaces. This sign should be taken into consideration when planning an upper thoracic spine procedure—for example, when choosing a needle path for a vertebral biopsy or a vertebroplasty. P. Gailloud et al. AJNR Am J Neuroradiol 2017;38:327-335 ©2017 by American Society of Neuroradiology