Abstract
The brachiocephalic artery divides into the right common carotid and subclavian arteries behind the sternoclavicular joint. Surgical and minimally invasive procedures of the neck demand an excellent knowledge of the brachiocephalic artery anatomy and its variations. A 70-year-old female was referred to our department for evaluation of a pulsatile neck mass. Computed tomography angiography revealed it to be a high brachiocephalic artery. The findings were documented and the patient counselled. Ignorance of these variations may lead to catastrophic consequences during interventional procedures. Rarity of the presentation led us to report it. This will serve to enhance the clinician’s knowledge.
Similar content being viewed by others
Availability of Data and Material
Not applicable.
Code Availability
Not applicable
References
Wong BL, Gopalan S, Bakar MNA, Wong MH (2017) High riding of brachiocephalic artery: a rare case of pulsatile anterior neck mass. Egyptian Journal of Ear, Nose, Throat and Allied Sciences 18:291–293
Prashant KU, Robert B, Ambreen L, Jeffrey S (2008) Beware of the aberrant innominate artery. Ann Thorac Surg 85:653–654
Racic G, Matulic J, Roje Z, Dogas Z, Vilovic K (2005) Abnormally high bifurcation of the brachiocephalic trunk as a potential operative hazard: case report. Otolaryngol-Head Neck Surg 133:811–813
Zarokosta M, Piperos T, Chrysikos D, Patrinos A, Kakaviatos D, Kalles V, Papapanagiotou I, Tsiaoussis J, Theodoropoulos P, Mariolis-Sapsakos T (2019) Anatomical variation of the trajectory of the brachiocephalic artery encountered during parathyroid adenoma excision. a rare case report and a surgical challenge. Int J Surg Case Rep 58:138–141
Dua SG, Purandare NC, Pramesh CS (2011) Incidental detection of high riding innominate artery and bilateral retropharyngeal carotid arteries: radiological findings and clinical evidence. Clin Radio J 66:685–687
Gil-Carcedo E, Gil-Carcedo LM, Vallejo LA, Herrero D (2012) High-riding innominate artery in neck surgery. Acta Otorrinolaringol Esp 63:396–398
Maldjian PD, Saric M, Tsai SC (2007) High brachiocephalic artery. CT appearance and clinical implicatons. J Thorac Imaging 22:192–194
Comert A, Comert E, Ozlugedik S, Kendir S, Tekdemir I (2004) High-located aberrant innominate artery: an unusual cause of serious haemorrhage of percutaneous tracheotomy. Am J Otolaryngol 25:368–369
Author information
Authors and Affiliations
Contributions
1- Manuscript writing, formatting of manuscript.
2- Final approval, designing of study, chief mentor.
3- Formatting of manuscript.
Corresponding author
Ethics declarations
Conflict of Interest
The authors declare no competing interests.
Additional information
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
The work has not been presented elsewhere.
The work should be attributed to Post Graduate Department of Plastic Surgery, King George’s Medical University, Lucknow, India.
Rights and permissions
About this article
Cite this article
Karmakar, S., Mishra, B. & Jain, M. Beware of the High Brachiocephalic Artery Presenting as Neck Mass: a Case Report and Review of Literature. Indian J Surg 84, 225–227 (2022). https://doi.org/10.1007/s12262-021-02865-4
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12262-021-02865-4