scholarly journals A rare saccular aneurysm in cadaveric aortic arch: A case report

2020 ◽  
Vol 9 (2) ◽  
pp. 1831-1834
Author(s):  
Julie Christy Amalraj ◽  
Rajeev Panwar

Aneurysm is the swelling like enlargement present in the walls of the blood vessels. Saccular aneurysm is a rare entity when compared to fusiform aneurysm. Saccular aneurysm in the aortic arch is another rare location. We present a cadaveric case of a 55-year-old male cadaver in which saccular aneurysm was observed during routine dissection teaching for undergraduate students. The lesion was resected and sent for microscopic analysis. The lesion involved the vessel wall only. There were blood clots evident. This report presents the cadaveric presentation and histolopathological findings of the lesion. Key words: Aneurysm, saccular aneurysm, aortic arch

2006 ◽  
Vol 5 (2) ◽  
pp. 95-100 ◽  
Author(s):  
Soubhagya R. Nayak ◽  
Mangala M. Pai ◽  
Latha V. Prabhu ◽  
Sujatha D'Costa ◽  
Prakash Shetty

OBJECTIVES: To determine the percentage and type of aortic arch variations in Indian subjects and their clinical and surgical importance and embryological basis. PATIENTS AND METHOD: In our investigation, branching patterns of the aortic arch were studied in 62 formalin-fixed cadavers of both sexes of Indian origin, aged 45-79. The dissections were carried out in formalin-preserved cadavers and the aortic arch variations were observed after exposing the thoracic and cervical region during routine dissection of undergraduate students of Indian origin in Kasturba Medical College, Mangalore. RESULTS: The usual three-branched aortic arch was found in 56 cadavers (91.4%); variations were found in six cadavers (9.6%); 4.8% presented common origin of the carotid arteries; 1.6% had bi-innominate sequence, and the same specimen had left coronary artery arising from arch of aorta directly; 1.6% presented right subclavian artery arising directly from the aorta; 1.6% had left vertebral artery a branch of aortic arch. Five out of six cadavers with anomalous aortic arch branching pattern were females. One male cadaver presented anomalous origin of left vertebral artery directly from the arch. CONCLUSION: The wide spectrum of variations in the anatomical arrangements of the aortic arch branches in the Indian population was at par with other populations of the world. Although anomalous origins of the aortic arch branches are merely anatomic variants, accurate information about them is vital for vascular surgery in the thorax, head and neck region.


Author(s):  
Simona-Alina Barbu ◽  
Antonia-Carmen Lisievici ◽  
Tiberiu Augustin Georgescu ◽  
Maria Sajin

2018 ◽  
Vol 150 (suppl_1) ◽  
pp. S14-S14
Author(s):  
Rusella Mirza ◽  
Juan Mercado
Keyword(s):  

2000 ◽  
Vol 64 (7) ◽  
pp. 544-546 ◽  
Author(s):  
Yasushi Imai ◽  
Tomohiro Harada ◽  
Hiroko Yamada ◽  
Hiroki Kurihara ◽  
Yoshinori Seko ◽  
...  

2017 ◽  
Vol 5 ◽  
pp. 2050313X1774407
Author(s):  
Harvey Romolo ◽  
Dicky A Wartono ◽  
Sugisman Suyuti ◽  
Bagus Herlambang ◽  
Michael Caesario ◽  
...  

Isolated saccular compared to fusiform aneurysm is considered to be a rare entity with challenges of its own. A 62-year-old female was diagnosed with a case of saccular aneurysm and penetrating atherosclerotic ulcer of the aortic arch. Additionally, she also had one vessel coronary artery disease and type B abdominal aortic dissection. She was then managed with open aortic arch repair and coronary artery bypass grafting. If required, elective endovascular repair will be done for the abdominal aorta on a later date.


2011 ◽  
Vol 12 (12) ◽  
pp. 909-909 ◽  
Author(s):  
W. Yu ◽  
C.-J. Chen ◽  
X. Wang ◽  
X. Zeng ◽  
W. Wang

2016 ◽  
Vol 4 (1) ◽  
pp. 20-24
Author(s):  
Srinivasa Rao Sirasanagandla ◽  
Satheesha Nayak B ◽  
Bhagath Kumar Potu ◽  
Kumar M R Bhat

La disección cuidadosa del tercio posterior de la parte superficial de la glándula salival submandibular es uno de los pasos quirúrgicos esenciales en la extirpación endoscópica glandular, evitando daños en la arteria facial. Un buen conocimiento de la poco común relación entre la arteria facial y la glándula salival submandibular es de vital importancia para llevar a cabo de forma eficiente y segura la extirpación de la glándula submandibular. Las variaciones del patrón de ramificación de la arteria facial son bien conocidas y han sido expuestas en el pasado. Sin embargo, las variaciones en su origen y trayectoria son poco frecuentes. Durante una rutinaria disección de cabeza y cuello para los estudiantes universitarios de Medicina, observamos la inusual trayectoria de la arteria facial en el triángulo digástrico derecho en un cadáver de un varón de origen indio de aproximadamente 60 años. La arteria facial derecha se originó de la común lingual-facial del tronco por encima del nivel del asta mayor del hueso hioides, y luego atravesar a través de la sustancia de la parte superficial de la glándula submandibular, sin la formación de un bucle. Después la arteria entraba en la cara por el ángulo anteroinferior del masetero. A continuación, en su trayectoria intraglandular, esta arteria mostraba pequeñas ramificaciones glandulares.  Careful dissection of the posterior one third of the superficial part of the submandibular salivary gland is one of the essential surgical steps in endoscopic glandular excision, to avoid injury to the facial artery. A sound knowledge of unusual relationship of the facial artery with the submandibular salivary gland is essentially important to perform the safe and efficient submandibular gland excision. Different types of variations in the branching pattern of the facial artery have been reported in the past. However, variations in the origin and course of the facial artery are very rare. During the routine head and neck dissection for the medical undergraduate students, we observed an unusual course of the facial artery in the right digastric triangle of an approximately 60-year-old male cadaver of Indian origin. The right facial artery originated from the common lingual-facial trunk above the level of the greater horn of the hyoid bone, and then it traversed through the substance of superficial part of the submandibular salivary gland without forming a loop. Then this artery entered the face at the antero-inferior angle of the masseter. Further, in its intraglandular course this artery gave few small glandular branches


Author(s):  
M. A. Chernyavsky ◽  
N. N. Zherdev ◽  
D. V. Chernova ◽  
A. V. Chernov ◽  
Yu. A. Kudaev ◽  
...  

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Biomedicines ◽  
2021 ◽  
Vol 9 (12) ◽  
pp. 1856
Author(s):  
Kristina Andelovic ◽  
Patrick Winter ◽  
Thomas Kampf ◽  
Anton Xu ◽  
Peter Michael Jakob ◽  
...  

Growth, ageing and atherosclerotic plaque development alter the biomechanical forces acting on the vessel wall. However, monitoring the detailed local changes in wall shear stress (WSS) at distinct sites of the murine aortic arch over time has been challenging. Here, we studied the temporal and spatial changes in flow, WSS, oscillatory shear index (OSI) and elastic properties of healthy wildtype (WT, n = 5) and atherosclerotic apolipoprotein E-deficient (Apoe−/−, n = 6) mice during ageing and atherosclerosis using high-resolution 4D flow magnetic resonance imaging (MRI). Spatially resolved 2D projection maps of WSS and OSI of the complete aortic arch were generated, allowing the pixel-wise statistical analysis of inter- and intragroup hemodynamic changes over time and local correlations between WSS, pulse wave velocity (PWV), plaque and vessel wall characteristics. The study revealed converse differences of local hemodynamic profiles in healthy WT and atherosclerotic Apoe−/− mice, and we identified the circumferential WSS as potential marker of plaque size and composition in advanced atherosclerosis and the radial strain as a potential marker for vascular elasticity. Two-dimensional (2D) projection maps of WSS and OSI, including statistical analysis provide a powerful tool to monitor local aortic hemodynamics during ageing and atherosclerosis. The correlation of spatially resolved hemodynamics and plaque characteristics could significantly improve our understanding of the impact of hemodynamics on atherosclerosis, which may be key to understand plaque progression towards vulnerability.


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