Aortic nipple
Last revised by Liz Silverstone on 21 Apr 2024
Citation, DOI, disclosures and article data
Citation:
Czarniecki M, Silverstone L, Niknejad M, et al. Aortic nipple. Reference article, Radiopaedia.org (Accessed on 25 Apr 2024) https://doi.org/10.53347/rID-27134
Permalink:
rID:
27134
Article created:
21 Jan 2014,
Marcin Czarniecki
Disclosures:
At the time the article was created Marcin Czarniecki had no recorded disclosures.
View Marcin Czarniecki's current disclosures
Last revised:
Disclosures:
At the time the article was last revised Liz Silverstone had no financial relationships to ineligible companies to disclose.
View Liz Silverstone's current disclosures
Revisions:
14 times, by
12 contributors -
see full revision history and disclosures
Systems:
Sections:
Synonyms:
- Aortic nipples
Aortic nipple is the name given to the chest radiography appearance of the left superior intercostal vein as it courses over the aortic arch. This small convexity is seen in less than 10% of PA chest x-rays. The calibre of the vein normally changes with intrathoracic pressure and patient position.
Fixed dilatation occurs due to the increased flow associated with superior vena cava obstruction or absent azygos vein, a rare normal variant 3. The superior intercostal vein acts as a collateral pathway.
References
- 1. Brant WE, Helms CA. Fundamentals of Diagnostic Radiology. Lippincott Williams & Wilkins. (2007) ISBN:0781761352. Read it at Google Books - Find it at Amazon
- 2. McDonald CJ, Castellino RA, Blank N. The aortic "nipple". The left superior intercostal vein. Radiology. 1970;96 (3): 533-6. doi:10.1148/96.3.533 - Pubmed citation
- 3. Hatfield MK, Vyborny CJ, MacMahon H, Chessare JW. Congenital absence of the azygos vein: a cause for "aortic nipple" enlargement. (1987) AJR. American journal of roentgenology. 149 (2): 273-4. doi:10.2214/ajr.149.2.273 - Pubmed
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