Skip to main content

Branching Variations from the Aortic Arch and Aortic Arch Anomaly

  • Chapter
  • First Online:
Atlas of the Supraaortic Craniocervical Arterial Variations
  • 352 Accesses

Abstract

This chapter includes (1) Left common carotid artery origin variations, (2) Left vertebral artery origin variations, (3) Right vertebral artery origin variations, (4) Right subclavian artery origin variations and associated arterial variations, and (5) Aortic arch anomaly and related variations. There are 20 figures and 2 illustrations.

Before catheterization of the branches arising from the aortic arch, these variations should be recognized to reduce both examination time and catheterization failure.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 99.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 129.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 199.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Berko NS, Jain VR, Godelman A, Stein EG, Ghosh S, Haramati LB. Variants and anomalies of thoracic vasculature on computed tomographic angiography in adults. J Comput Assist Tomogr. 2009;33:523–8.

    Article  Google Scholar 

  2. Uchino A, Saito N, Okada Y, Kozawa E, Nishi N, Mizukoshi W, Nakajima R, Takahashi M, Watanabe Y. Variation of the origin of the left common carotid artery diagnosed by CT angiography. Surg Radiol Anat. 2013;35:339–42.

    Article  Google Scholar 

  3. Layton KF, Kallmes DF, Cloft HJ, Lindell EP, Cox VS. Bovine aortic arch variant in humans: clarification of a common misnomer. AJNR Am J Neuroradiol. 2006;27:1541–2.

    PubMed  PubMed Central  CAS  Google Scholar 

  4. Reinshagen L, Vodiskar J, Mühler E, Hövels-Gürich HH, Vazquez-Jimenez JF. Bicarotid trunk: how much is “not uncommon”? Ann Thorac Surg. 2014;97:945–9.

    Article  Google Scholar 

  5. Uchino A. Bilateral brachiocephalic trunks. Surg Radiol Anat. 2018;40:1441–2.

    Article  Google Scholar 

  6. Uchino A, Saito N, Takahashi M, Okada Y, Kozawa E, Nishi N, Mizukoshi W, Nakajima R, Watanabe Y. Variations in the origin of the vertebral artery and its level of entry into the transverse foramen diagnosed by CT angiography. Neuroradiology. 2013;55:585–94.

    Article  Google Scholar 

  7. Jakanani GC, Adair W. Frequency of variations in aortic arch anatomy depicted on multidetector CT. Clin Radiol. 2010;65:481–7.

    Article  CAS  Google Scholar 

  8. Müller M, Schmitz BL, Pauls S, Schick M, Röhrer S, Kapapa T, Schlötzer W. Variations of the aortic arch – a study on the most common branching patterns. Acta Radiol. 2011;52:738–42.

    Article  Google Scholar 

  9. Satti SR, Cerniglia CA, Koenigsberg RA. Cervical vertebral artery variations: an anatomic study. AJNR Am J Neuroradiol. 2007;28:976–80.

    PubMed  PubMed Central  CAS  Google Scholar 

  10. Nogueira TE, Chambers AA, Brueggemeyer MT, Miller TJ. Dual origin of the vertebral artery mimicking dissection. AJNR Am J Neuroradiol. 1997;18:382–4.

    PubMed  PubMed Central  CAS  Google Scholar 

  11. Goray VB, Joshi AR, Garg A, Merchant S, Yadav B, Maheshwari P. Aortic arch variation: a unique case with anomalous origin of both vertebral arteries as additional branches of the aortic arch distal to left subclavian artery. AJNR Am J Neuroradiol. 2005;26:93–5.

    PubMed  PubMed Central  Google Scholar 

  12. Yamashiro S, Kuniyoshi Y, Arakaki K, Inafuku H, Morishima Y, Kise Y. Total arch replacement with associated anomaly of the left vertebral artery. Ann Thorac Cardiovasc Surg. 2010;16:216–9.

    PubMed  Google Scholar 

  13. Uchino A, Kurita H. Duplicate origin of the right vertebral artery in which both channels arose from the extreme proximal right subclavian artery: a case report. Surg Radiol Anat. 2017;39:811–4.

    Article  Google Scholar 

  14. Karcaaltincaba M, Haliloglu M, Ozkan E, Kocak M, Akinci D, Ariyurek M. Non-invasive imaging of aberrant right subclavian artery pathologies and aberrant right vertebral artery. Br J Radiol. 2009;82:73–8.

    Article  CAS  Google Scholar 

  15. Lacout A, Khalil A, Figl A, Liloku R, Marcy PY. Vertebral arteria lusoria: a life-threatening condition for oesophageal surgery. Surg Radiol Anat. 2012;34:381–3.

    Article  Google Scholar 

  16. Lemke AJ, Benndorf G, Liebig T, Felix R. Anomalous origin of the right vertebral artery: review of the literature and case report of right vertebral artery origin distal to the left subclavian artery. AJNR Am J Neuroradiol. 1999;20:1318–21.

    PubMed  PubMed Central  CAS  Google Scholar 

  17. Freed K, Low VH. The aberrant subclavian artery. AJR Am J Roentgenol. 1997;168:481–4.

    Article  CAS  Google Scholar 

  18. Janssen M, Baggen MG, Veen HF, Smout AJ, Bekkers JA, Jonkman JG, Ouwendijk RJ. Dysphagia lusoria: clinical aspects, manometric findings, diagnosis, and therapy. Am J Gastroenterol. 2000;95:1411–6.

    Article  CAS  Google Scholar 

  19. Cina CS, Althani H, Pasenau J, Abouzahr L. Kommerell’s diverticulum and right-sided aortic arch: a cohort study and review of the literature. J Vasc Surg. 2004;39:131–9.

    Article  CAS  Google Scholar 

  20. Hayashi T, Ichikawa T, Yamamuro H, Ono S, Kobayashi M, Nomura T, Hashida K, Yashiro H, Okochi T, Koizumi J, Shimura S, Hasebe T, Imai Y. Right aortic arch with mirror-image branching in adults: evaluation using CT. Tokai J Exp Clin Med. 2018;43:30–7.

    PubMed  Google Scholar 

  21. Kaldararova M, Simkova I, Varga I, Tittel P, Kardos M, Ondriska M, Vrsanska V, Masura J. Double aortic arch anomalies in children: a systematic 20-year single center study. Clin Anat. 2017;30:929–39.

    Article  CAS  Google Scholar 

  22. Zhong Y-L, Ma W-G, Zhu J-M, Qiao Z-Y, Zheng J, Liu Y-M, Sun L-Z. Surgical repair of cervical aortic arch: an alternative classification scheme based on experience in 35 patients. J Thorac Cardiovasc Surg. 2020;159:2202–13.

    Article  Google Scholar 

  23. Gomibuchi T, Seto T, Yamamoto T, Nakahara K, Ohashi N, Ohtsu Y, Wada Y, Fukui D, Okada K. Surgical repair of cervical aortic arch with brain circulation anomalu through clamshell incision. Ann Thorac Surg. 2017;104:e235–7.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

Copyright information

© 2022 The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Uchino, A. (2022). Branching Variations from the Aortic Arch and Aortic Arch Anomaly. In: Atlas of the Supraaortic Craniocervical Arterial Variations. Springer, Singapore. https://doi.org/10.1007/978-981-16-6803-6_1

Download citation

  • DOI: https://doi.org/10.1007/978-981-16-6803-6_1

  • Published:

  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-16-6802-9

  • Online ISBN: 978-981-16-6803-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics