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.
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References
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.
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.
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.
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.
Uchino A. Bilateral brachiocephalic trunks. Surg Radiol Anat. 2018;40:1441–2.
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.
Jakanani GC, Adair W. Frequency of variations in aortic arch anatomy depicted on multidetector CT. Clin Radiol. 2010;65:481–7.
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.
Satti SR, Cerniglia CA, Koenigsberg RA. Cervical vertebral artery variations: an anatomic study. AJNR Am J Neuroradiol. 2007;28:976–80.
Nogueira TE, Chambers AA, Brueggemeyer MT, Miller TJ. Dual origin of the vertebral artery mimicking dissection. AJNR Am J Neuroradiol. 1997;18:382–4.
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.
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.
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.
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.
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.
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.
Freed K, Low VH. The aberrant subclavian artery. AJR Am J Roentgenol. 1997;168:481–4.
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.
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.
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.
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.
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.
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.
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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
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DOI: https://doi.org/10.1007/978-981-16-6803-6_1
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