This is a good question! You have to keep heart inside the cage. Because it is important structure. So you have thoracic cage. You can avoid aortic arch by keeping the heart in inverted position. But in that case blood flow would have gushed to the lower extremity. Important organs like brain would get less blood supply. Unimportant organs like lower extremity will get more blood supply. To avoid this problems the heart is placed in upright position. It has got the mechanical advantage. The brain and upper extremity gets direct blood supply. The arch will not create any problem to the blood flow. There is no sudden folding of the blood vessel. That would create problems to the smooth flow of the blood. Cells in the blood are very much delicate ones. They would have got ruptured. That would have created havoc. There will be clotting of the blood inside the blood vessels. Due to arch structure of aorta, important organs get initial high blood pressure. These are the obvious mechanical reasons. Someone should improve the answer.
It is an aortic arch with an aneurysm.
Is a right sided aortic arch normal?
It is an aortic arch with an aneurysm.
The aortic arch is closer to the base of the heart.
The aortic arch arches to the left as it emerges from the heart.
The right common carotid artery does not receive blood directly from the aortic arch. It branches off the brachiocephalic trunk, which comes directly from the aortic arch.
The three branches off the aortic arch arethe brachiocephalic arteryleft common carotid Arteryleft subclavian Artery.
Aortic arch ~>left subclavian artery ~> axillary artery ~> brachial artery ( and its profunda).
left subclavian artery
brachiocephalic artery
A prominent aortic knuckle refers to the visible outline or shadow of the aortic arch on a chest X-ray. This prominence can indicate various conditions, such as aortic aneurysm, aortic dissection, or other cardiovascular abnormalities. It is important for healthcare providers to assess the aortic knuckle's prominence in conjunction with other clinical findings to determine the underlying cause and necessary interventions.
Why would you want to do that. You would have to cut open the heart and watch the blood move from the pulmonary artery through the heart and into the right radial artery.