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Aberrant origin of bilateral vertebral arteries associated with bovine aortic arch

  • Anatomic Variations
  • Published:
Surgical and Radiologic Anatomy Aims and scope Submit manuscript

Abstract

Purpose

Variance of aortic arch branches are clinically significant as they are encountered in multiple endovascular treatments. The knowledge of different variants is crucial to perform successful vascular interventions.

Methods

We report a novel anatomical variant of aortic arch found on contrast-enhanced computed tomography scan during a workup of cervical lymphadenopathy.

Results

The CT neck revealed a bovine aortic arch with an aberrant origin of bilateral vertebral arteries from the aortic arch. The right vertebral artery arose between the bovine trunk and the left subclavian artery, while the left vertebral artery was present distal to the left subclavian artery.

Conclusion

This article sheds light on the potential clinical significance of these various types of aortic arch branches. Knowing the exact type of variant is particularly important in patient undergoing management involving carotid and surrounding vessels.

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Abbreviations

MDCT:

Multi-detector computed tomography

CT:

Computer tomography

VA:

Vertebral artery

LVA:

Left vertebral artery

RVA:

Right vertebral artery

MTB:

Mycobacterium tuberculosis

USG:

Ultrasound

BCT:

Brachiocephalic trunk

LCCA:

Left common carotid artery

RCCA:

Right common carotid artery

ECT:

External carotid artery

ICT:

Internal carotid artery

LSCA:

Left subclavian artery

RSCA:

Right subclavian artery

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Acknowledgements

Not applicable

Funding

The authors did not receive support from any organization for the submitted work.

Author information

Authors and Affiliations

  1. Hamad Medical Corporation, Doha, Qatar

    Ahmad L. F. Yasin, Kinda Shukri, Omar Aljaziri & Imad Awwad

  2. Internal Medicine, McLaren Flint Healthcare, Michigan State University, East Lansing, MI, USA

    Amman Yousaf

  3. Radiology, Salam Medical Complex, Lahore, Pakistan

    Shoaib Muhammad

  4. Urology, Gulab Devi Hospital, Al-Aleem Medical College, Lahore, Pakistan

    Shoaib Muhammad

Authors
  1. Ahmad L. F. Yasin
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  2. Kinda Shukri
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  3. Omar Aljaziri
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  4. Amman Yousaf
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  5. Shoaib Muhammad
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  6. Imad Awwad
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Contributions

All authors contributed to the study conception and design. Material preparation and data collection were performed by ALFY, KS and OA. The first draft of the manuscript was written by AY and SM, and all authors commented on previous versions of the manuscript. IA gave critical input and prepared final images with reconstructions. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Shoaib Muhammad.

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Competing interests

All authors certify that they have no affiliations with or involvement in any organization or entity with any financial interest or non-financial interest in the subject matter or materials discussed in this manuscript.

Conflict of interest

The authors declare that they have no conflict of interest that may influence the manuscript in any way.

Ethics Approval

The patient's data was used anonymously, so ethics approval was waived.

Informed Consent

We obtained informed written consent from the patient to use clinical images and data anonymously for publication.

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Yasin, A.L.F., Shukri, K., Aljaziri, O. et al. Aberrant origin of bilateral vertebral arteries associated with bovine aortic arch. Surg Radiol Anat 44, 309–313 (2022). https://doi.org/10.1007/s00276-021-02880-w

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  • DOI: https://doi.org/10.1007/s00276-021-02880-w

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