Volume 5, Issue 1, June 2019, Page: 8-11
Clinically Relevant Variations in the Branching Pattern of Arch of Aorta - Research Article
Shakthi Kumaran Ramasamy, Aarupadai Veedu Medical College & Hospital, Puducherry, India
Chitra Ramasamy, Anatomy, Siddhartha Medical College, Vijayawada, India
Received: Feb. 7, 2019;       Accepted: Mar. 13, 2019;       Published: Jun. 29, 2019
DOI: 10.11648/j.ijcda.20190501.12      View  515      Downloads  119
Anatomical variations in the branching pattern of arch of aorta are significant for diagnostic, surgical, and interventional procedures of the thorax and neck and the aim of the study is to analyze the anatomical variations in the branching pattern of arch of aorta. The purpose of this study is to review the anatomical variations in branching pattern of arch of aorta in fifty adult human cadavers (M: 42, F: 8) dissected in the department of anatomy, Siddhartha medical college, Vijayawada for five consecutive years from 2013 to 2017. The three branches of the arch of aorta were normal in 41 cadavers in the present study. In 9 cadavers, the variations were observed. In five male cadavers and in a female cadaver, the two branches of arch of aorta were the common trunk of brachiocephalic trunk and left common carotid artery and the left subclavian artery. In two male cadavers, the branches were four including the origin of left vertebral artery from arch of aorta. In a female cadaver, the three branches of arch of aorta were as follows: common trunk of brachiocephalic trunk and left common carotid artery, the left vertebral artery and the left subclavian artery. Head and neck surgeons and interventional radiologists should be aware of aortic arch variations. Computerized tomography angiography is a reliable imaging method for demonstrating anatomical features and variations of the arch of aorta.
Arch of Aorta, Brachiocepalic Trunk, Left Common Carotid Artery, Left Subclavian Artery, Left Vertebral Artery
To cite this article
Shakthi Kumaran Ramasamy, Chitra Ramasamy, Clinically Relevant Variations in the Branching Pattern of Arch of Aorta - Research Article, International Journal of Clinical and Developmental Anatomy. Vol. 5, No. 1, 2019, pp. 8-11. doi: 10.11648/j.ijcda.20190501.12
Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Alsaif HA, Ramadan WS. An anatomical study of the aortic arch anomalies. Journal of King Abdulaziz University-Medical Sciences. 2010; 17: 37–54.
Jakanani GC, Adair W. Frequency of variations in aortic arch anatomy depicted on multidetector CT. Clinical Radiology. 2010; 65(6): 481–7.
Kadir S. Regional anatomy of the thoracic aorta in Atlas of Normal and Variant Angiographic Anatomy. S. Kadir, Ed., WB Saunders, Philadelphia, Pa, USA: 1991.
Nayak SR, Pai MM, Prabhu LV, D' Costa S, Shetty P. Anatomical organization of aortic arch variations in the India: embryological basis and review. Journal Vascular Brasileiro. 2006; 5(2): 95–100.
Poultsides GA, Lolis ED, Vasquez J, Drezner AD, Venieratos D. Common origins of carotid and subclavian arterial systems: report of a rare aortic arch variant. Annals of Vascular Surgery. 2004; 18 (5): 597–600.
Layton KF, Kallmes DF, Cloft HJ, Lindell EP, Cox VS. Bovine aortic arch variant in humans: clarification of a common misnomer. American Journal of Neuroradiology. 2006; 27(7): 1541–2.
Grande NR, Costa e Silva A, Pereira AS, Aguas A. Variations in the anatomical organization of the human aortic arch. A study in a Portuguese population. Bulletin de l"Association des Anatomistes. 1995; 79 (244): 19–22.
Nelson ML, Sparks CD. Unusual aortic arch variations: distal origin of common carotid arteries. Clinical Anatomy. 2001; 14 (1): 62–5.
Satyapal KS, Singaram S, Partab P, Kalideen JM, Robbs JV. Aortic arch branch variations-case report and arteriographic analysis, South African Journal of Surgery. 2003; 41(2): 48–50.
Moskowitz WB, Topaz O. The implications of common brachiocephalic trunk on associated congenital cardiovascular defects and their management, Cardiology in the Young. 2003; 13(6): 537-43.
Makhanya NZ, Mamogale, RT, Khan N. Variants of the left aortic arch branches, The South African Journal of Radiology, 2004; 8(4):10–2.
Natsis KI, Tsitouridis IA, Didagelos MV, Fillipidis AA, Vlasis KG, Tsikaras PD. Anatomical variations in the branches of the human aortic arch in 633 angiographies: clinical significance and literature review, Surgical and Radiologic Anatomy, 2009; 31(5): 319–23.
Ogengo JA, Olabu BO, Gatonga, PM, Munguti JK. Branching pattern of aortic arch in a kenyan population, Journal of Morphological Sciences, 2010; 27(2): 51–5.
Bhattarai C, Poudel PP. Study on the variation of branching pattern of arch of aorta in Nepalese, Nepal Medical College Journal, 2010; 12(2): 84–6.
Liechty JD, Shields T, Anson BJ. Variations pertaining to the aortic arches and their branches. Quarterly Bulletin of Northwestern University Medical School, 1957; 31(2):136–43.
Satti SR, Cerniglia CA, Koenigsberg RA. Cervical vertebral artery variations: an anatomic study. American Journal of Neuroradiology. 2007; 28(5): 976–80.
Bean RB. A composite study of the subclavian artery in man. Am J Anat. 1905; 4: 303–28.
Mori Y. Über die A. subclavia and ihre Äste bei japanischen Feten. Acta Anat Nippon. 1941; 17: 229–55.
Stein BM, McCormick WF, Rodriguez JN, Taveras JM. Postmortem angiography of cerebral vascular system. Arch Neurol. 1962; 7: 545–59.
Argenson GF, Sylla S, Dintimille H, Papasion S, DiMarino V. The vertebral arteries (segments V1 and V2). Anat Clin. 1980; 2: 29–41.
Nizanowski C, Noczynski L, Suder E. Variability of the origin of ramifications of the subclavian artery in humans (studies on the Polish population). Folia Morphol (Warsz). 1982; 41: 281–94.
Vorster W, Du Plooy PT, Meiring JH. Abnormal origin of internal thoracic and vertebral arteries. Clin Anat. 1998; 11: 33–7.
Cavdar S, Arisan E. Variations in the extracranial origin of the human vertebral artery. Acta Anat (Basel). 1989; 135: 236–8
Komiyama M, Morikawa T, Nakajima H, Nishikawa M, Yasui T. High incidence of arterial dissection associated with left vertebral artery of aortic origin. Neurol Med Chir (Tokyo). 2001; 41(1): 8–11.
Panicker HK, Tarnekar A, Dhawane V, Ghosh SK. Anomalous origin of left vertebral artery – embryological basis and applied aspects – A case report. J Anat Soc India. 2002; 51: 234–235.
Yamaki K, Saga T, Hirata T, Sakaino M, Nohno M, Kobayashi S, Hirao T. Anatomical study of the vertebral artery in Japanese adults. Anat Sci Int. 2006; 81: 100–6.
Imre N, Yalcin B, Ozan H. Unusual origin of the left vertebral artery. Int J Anat Var, 2010; 3: 80–2.
Karacan A, Türkvatan A, Karacan K. Anatomical variations of aortic arch branching: evaluation with computed tomographic angiography. Cardiol Young. 2014; 24(3): 485-93.
Gaskill SJ, Heinz ER, Kandt R, Oakes WJ. Bilateral congenital anomalies of the extracranial vertebral artery: management with balloon therapy. Pediatr Neurosurg 1996; 25: 147–50.
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