scholarly journals Anatomical Variations in Branching Pattern of Arch of Aorta – A Cadaveric Study in South Indian Population

2020 ◽  
Vol 6 (2) ◽  
pp. 69-72
Author(s):  
S Kantharaj Naik ◽  
S.A. Premchand ◽  
W Benjamin
Keyword(s):  
Carotid Artery ◽  
Vertebral Artery ◽  
Common Carotid Artery ◽  
Left Subclavian Artery ◽  
Anatomical Variations ◽  
Left Common Carotid Artery ◽  
Left Vertebral Artery ◽  
Common Trunk ◽  
Branching Pattern ◽  
Brachiocephalic Trunk

Background: Knowledge of the branching pattern of arch of aorta is important in avoiding surgical and accidental injuries during aortic instru- mentation, thoracic and neck surgeries. Subjects and Methods: The present study is based on dissections that were performed on 50 properly embalmed human cadaver specimens. The anatomical variations of arch of aorta and its branches, diameter of its branches at site of origin and distance of each branch from the point of origin to median plane were measured. Results: The usual three branched pattern of arch of aorta was found in 36 specimens (72%). The common trunk for both brachiocephalic trunk and left common carotid artery was present in 10 specimens (20%). In 2 specimens (4%), the arch gives four branches, left vertebral artery being additional branch. In 1 specimen (2%), the arch gives three branches namely; common trunk for brachiocephalic trunk and left common carotid artery, left vertebral artery and left subclavian artery. In 1 specimen (2%), the arch gives three branches namely; brachiocephalic trunk, left common carotid artery and common trunk for left vertebral artery and left subclavian artery. Conclusion: The results in this study provide significant information vital for anatomists, cardiovascular surgeons and radiologists.

scholarly journals Anatomical Variations in the Branching Pattern of Human Aortic Arch: A Cadaveric Study from Central India

ISRN Anatomy ◽  
2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Virendra Budhiraja ◽  
Rakhi Rastogi ◽  
Vaishali Jain ◽  
Vishal Bankwar ◽  
Shiv Raghuwanshi
Keyword(s):  
Carotid Artery ◽  
Vertebral Artery ◽  
Aortic Arch ◽  
Subclavian Artery ◽  
Common Carotid Artery ◽  
Left Subclavian Artery ◽  
Left Vertebral Artery ◽  
Common Trunk ◽  
Branching Pattern ◽  
Brachiocephalic Trunk

Variations of the branches of aortic arch are due to alteration in the development of certain branchial arch arteries during embryonic period. Knowledge of these variations is important during aortic instrumentation, thoracic, and neck surgeries. In the present study we observed these variations in fifty-two cadavers from Indian populations. In thirty-three (63.5%) cadavers, the aortic arch showed classical branching pattern which includes brachiocephalic trunk, left common carotid artery, and left subclavian artery. In nineteen (36.5%) cadavers it showed variations in the branching pattern, which include the two branches, namely, left subclavian artery and a common trunk in 19.2% cases, four branches, namely, brachiocephalic trunk, left common carotid artery, left vertebral artery, and left subclavian artery in 15.3% cases, and the three branches, namely, common trunk, left vertebral artery, and left subclavian artery in 1.9% cases.

scholarly journals Variations in branching pattern of arch of aorta in Gujarat region

2016 ◽  
Vol 05 (04) ◽  
pp. 185-190
Author(s):  
Jitendra P. Patel ◽  
Naimish R. Bhojak ◽  
Jalpa N. Desai
Keyword(s):  
Carotid Artery ◽  
Surgical Procedures ◽  
Left Subclavian Artery ◽  
Branchial Arch ◽  
Left Vertebral Artery ◽  
Common Trunk ◽  
Branching Pattern ◽  
Invasive Procedures ◽  
Medical College ◽  
Brachiocephalic Trunk

Abstract Background and aim: Study of variation in branching pattern of arch of aorta is important for cardio­ vascular surgeons to avoid injury during procedures like angiography and stenting of aorta. These variations are frequently encountered during surgical procedures, as a developmental alteration in branchial arch during embryonic period. The aim of present study is to describe variation in branching pattern of arch of aorta belonging to Gujarati population and these results will be of significance for anatomists for relating it with embryological basis, cardiovascular surgeons and radiologists. Materials and metbods: Forty embalmed cadavers were observed for study of branching pattern of arch of aorta during period of four year in Department of Anatomy in Smt N.H.L.Municipal Medical College, Ahmedabad. Results: In the present study, normal branching pattern of the arch of aorta was found in 92.5% cases. In 2.5% cases only two vessels originated from the arch of aorta, one of them was common trunk for brachiocephalic trunk and left common carotid artery and the second trunk was left subclavian artery. In 5% of cases four vessels arose from arch of aorta, the left vertebral artery arose directly from aorta with normal branching pattern. Conclusion: Vascular invasive procedures are increasing since last decade. So knowledge of variation in branches of arch of aorta is essential for cardiologist, cardiovascnlar surgeon as well as for radiologist.

Branching patterns and anatomical variations of human aortic arch in Indian population

2021 ◽  
Vol 8 (3) ◽  
pp. 162-165
Author(s):  
K Mohan ◽  
Dhinesh Kumar
Keyword(s):  
Carotid Artery ◽  
Aortic Arch ◽  
Common Carotid Artery ◽  
Anatomical Variations ◽  
Left Common Carotid Artery ◽  
Common Trunk ◽  
Superior Mediastinum ◽  
Brachiocephalic Trunk ◽  
Branching Patterns ◽  
Arch Of The Aorta

Knowledge of the aortic arch branching pattern is important during supra-aortic angiography, aortic instrumentation, thoracic and neck surgery. The aortic arch (AA) is located in the superior mediastinum. In 65–80% of the cases, the three branches arise from the aortic arch, namely, the brachiocephalic trunk (BCT), the left common carotid artery (LCCA), and the left subclavian artery (LSA). The purpose of this study is to describe different branching patterns of the arch of the aorta in Indian subjects. This observational study is based on dissection performed on Sixty embalmed arches of the aorta in adult Indian cadavers (in manuscript it was written as, 20 dissected heart specimens were collected of still-born fetuses) were exposed and their branches examined during cadaveric dissection in the department of Anatomy. The anatomical variations of the arch of the aorta and its branches, its branches at site of origin, and the distance of each branch from the point of origin to the median plane were measured. The usual three-branched pattern of arch of aorta was found in 44 specimens (73.33%). The common trunk for both brachiocephalic trunk and left common carotid artery was present in 11 specimens (18.33%). In 2 specimens (3.33%), the arch gives four branches. In 1 specimen (1.67%), give three branches. The wide spectrum of variations in the anatomical arrangement of the human aortic arch and its branches offer valuable information to catheterize the aortic arch and its branches for safely performing endovascular surgery. These anatomical and morphologic variations in the arch of the aorta and its branches are significant for diagnostic and surgical procedures in the thorax, head and neck regions.

scholarly journals Ascending aorta and aortic root replacement in an infant: a case report

2021 ◽  
Vol 25 (3) ◽  
pp. 83
Author(s):  
V. A. Mironenko ◽  
V. S. Rasumovsky ◽  
A. A. Svobodov ◽  
S. V. Rychin
Keyword(s):  
Carotid Artery ◽  
Aortic Arch ◽  
Subclavian Artery ◽  
Aortic Root ◽  
Common Carotid Artery ◽  
Left Subclavian Artery ◽  
Vascular Prosthesis ◽  
Ascending Aorta ◽  
Left Common Carotid Artery ◽  
Brachiocephalic Trunk

<p>We herein report the first clinical case of prosthetic replacement of the ascending aorta and aortic arch to repair a giant aneurysm in a 7-month-old child. The ascending aorta and arch replacement to the level of left subclavian artery was performed using a no. 16 Polymaille prosthesis, the brachiocephalic trunk was reimplanted into the vascular prosthesis and the kinked section of the left common carotid artery was removed, followed by reimplanting the left common carotid artery into the left subclavian artery. First, proximal anastomosis with the vascular prosthesis was created using a no. 16 Polymaille prosthesis and the vascular suture was strengthened with a Teflon strip. During circulatory arrest, the aortic arch was crossed between the orifice of the left common carotid artery and left subclavian artery, with the cut extended to the isthmus region along the small curvature of the arch. The brachiocephalic trunk was aligned and brought down, with subsequent implantation into the ascending aorta prosthesis 2 cm below the initial fixation point. In the final stage, the kinked section of the left common carotid artery was resected and the aligned left carotid artery was directly reimplanted into the left subclavian artery using end-to-side anastomosis. The patient developed tracheobronchitis and moderate heart failure during the postoperative period. The duration of mechanical ventilation was 16 hours. Infusion and antibacterial therapy were discontinued on postoperative day 8. On postoperative day 13, the patient was discharged and referred to the outpatient centre for further treatment and rehabilitation. A sufficiently large-sized prosthesis allows for further development in paediatric patients. This is facilitated by the preservation of the native aortic root with restored valve function and the formation of a bevelled distal anastomosis with a small unchanged aortic section in the isthmus region, which maintains growth potential. This first reported case of an infant demonstrates the possibility of combination interventions on the aortic arch and brachiocephalic artery during the first year of life.</p><p>Received 30 January 2021. Revised 24 March 2021. Accepted 29 March 2021.</p><p><strong>Funding:</strong> The study did not have sponsorship.</p><p><strong>Conflict of interest:</strong> The authors declare no conflicts of interests.</p><p><strong>Contribution of the authors: </strong>The authors contributed equally to this article.</p>

scholarly journals An unusual origin of the right subclavian artery – arteria lusoria

2014 ◽  
Vol 27 (4) ◽  
pp. 234-236
Author(s):  
Agnieszka Mocarska ◽  
Miroslaw Szylejko ◽  
Elzbieta Staroslawska ◽  
Franciszek Burdan
Keyword(s):  
Carotid Artery ◽  
Aortic Arch ◽  
Subclavian Artery ◽  
Common Carotid Artery ◽  
Left Common Carotid Artery ◽  
Left Vertebral Artery ◽  
Anatomical Anomaly ◽  
Arteria Lusoria ◽  
Brachiocephalic Trunk ◽  
The Right

Abstract The aortic arch usually gives off three major arterial branches: the brachiocephalic trunk, the left common carotid artery and the left subclavian artery. The most frequently occurring developmental variations of arterial trunks origins are a joined brachiocephalic and left common carotid artery origin, the left vertebral artery branching from the aortic arch, a double aortic arch, and a change of sequence of branching arteries. The current report presents the rare asymptomatic situation of the right subclavian artery originating as the last individual branching from the aortic arch. This abnormality was accidentally discovered in a computed tomography examination of a 69-year old male patient. The examination showed that the artery went towards the neck posteriorly from the trachea. The anatomical anomaly was interpreted as being an arteria lusoria.

Prior reconstruction of an isolated left vertebral artery for Stanford type A aortic dissection

2020 ◽  
Author(s):  
Yi Zuo ◽  
Zheng-Chun Zhou ◽  
Jian-Jun Ge
Keyword(s):  
Carotid Artery ◽  
Aortic Dissection ◽  
Vertebral Artery ◽  
Common Carotid Artery ◽  
Type A ◽  
Left Common Carotid Artery ◽  
Total Arch Replacement ◽  
Left Vertebral Artery ◽  
Elephant Trunk ◽  
Type A Aortic Dissection

Abstract Although isolated left vertebral artery is a supra-aortic trunk variant, it is not so rare. It may pose additional difficulties during total arch replacement surgeries. The aim of this study was to present our experience with prior reconstruction of isolated left vertebral artery by isolated left vertebral artery–left common carotid artery during total arch replacement combined with stented elephant trunk implantation.

Multimodality Treatment of a Complex Cervicocerebral Arteriovenous Shunt in a Patient With CHARGE Syndrome

Neurosurgery ◽  
2010 ◽  
Vol 67 (1) ◽  
pp. E208-E209 ◽  
Author(s):  
Shervin R. Dashti ◽  
Robert F. Spetzler ◽  
Min S. Park ◽  
Michael F. Stiefel ◽  
Humain Baharvahdat ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Vertebral Artery ◽  
Common Carotid Artery ◽  
Heart Defects ◽  
Charge Syndrome ◽  
Left Common Carotid Artery ◽  
Innominate Vein ◽  
Arteriovenous Shunt ◽  
Left Vertebral Artery ◽  
External Carotid

Abstract OBJECTIVE We present our management of a unique case of complex arteriovenous shunt with vascular steal in the left-sided head and neck vessels in a child with CHARGE (Coloboma of the eye, Heart defects, Atresia of the choanae, Retardation of growth and/or development, Genital and/or urinary abnormalities, and Ear abnormalities and deafness) syndrome. CLINICAL PRESENTATION A 10-year-old girl presented with high-output heart failure. Cerebral angiography revealed high-flow abnormal fistulous connections between the left common carotid artery and innominate vein as well as between the vertebral artery and innominate vein. There was significant collateral blood flow to the fistulae from the left external carotid artery and left thyrocervical and costocervical trunks. INTERVENTION The left vertebral artery-to-innominate vein fistula was occluded by endovascular means during temporary balloon occlusion. The left common carotid artery-to-innominate vein fistula was occluded through neck dissection with surgical clipping. CONCLUSION Combined neurosurgical and endovascular techniques were used successfully to manage a complex arteriovenous fistula in a patient with CHARGE syndrome. Challenges in therapeutic decision making are discussed.

scholarly journals Aberrant origin of left vertebral artery: a rare case

2017 ◽  
Vol 5 (2) ◽  
pp. 700 ◽  
Author(s):  
Amanjeet S. Kindra ◽  
Suneel K. Gupta
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Vertebral Artery ◽  
Aortic Arch ◽  
Subclavian Artery ◽  
Common Carotid Artery ◽  
Rare Case ◽  
Internal Carotid ◽  
Left Common Carotid Artery ◽  
Left Vertebral Artery

The Vertebral Artery (VA) is classically described as originating as the first branch of the ipsilateral subclavian artery. The VA origin is variable and has been identified at the aortic arch, Common Carotid Artery (CCA), and Internal Carotid Artery. The VA arising from the carotid artery is an extremely uncommon variant. Left VA origin from the left CCA has been reported only thrice. These rare anomalous origins of the VA usually are asymptomatic. We describe symptomatic aberrant origin of left vertebral artery from left common carotid artery, a rare case.

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