Skip to main content
SpringerLink
Log in

Variations of the Proximal Anterior Cerebral Artery (ACA), Including Anterior Communicating Artery (ACoA)

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

Abstract

This chapter includes (1) Unilateral A1 aplasia, (2) Carotid-ACA anastomosis (Infraoptic course of ACA), (3) Persistent primitive olfactory artery, (4) Duplicate origin of the ACA, (5) Fenestration of the ACA, (6) Distal A1 duplication, (7) Azygos (unpaired) ACA, (8) Bihemispheric (asymmetric) ACA, (9) Triple ACA (Accessory ACA), and (10) ACoA duplication, partial duplication, and true fenestration. There are 30 figures and 4 illustrations.

Both carotid-ACA anastomosis and persistent primitive olfactory artery are rare but important variations because they are dangerous during surgery of the suprasellar region and midline anterior skull base.

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

Access this chapter

Log in via an institution
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. Krabbe-Hartkamp MJ, van der Grond J, de Leeuw FE, de Groot JC, Algra A, Hillen B, Breteler MM, Mali WP. Circle of Willis: morphologic variation on three-dimensional time-of-flight MR angiograms. Radiology. 1998;207:103–11.

    Article  CAS  Google Scholar 

  2. Uchino A, Nomiyama K, Takase Y, Kudo S. Anterior cerebral artery variations detected by MR angiography. Neuroradiology. 2006;48:647–52.

    Article  Google Scholar 

  3. Yamaguchi K, Uchino A, Sawada A, Takase Y, Kuroda Y, Kudo S. Bilateral anterior cerebral artery territory infarction associated with unilateral hypoplasia of the A1 segment: report of two cases. Radiat Med. 2007;22:422–5.

    Google Scholar 

  4. Uchino A, Sawada A, Takase Y, Imaizumi T, Egashira R, Matsuo M, Kudo S. Carotid-anterior cerebral artery anastomosis: MR angiographic features and literature review. Clin Imaging. 2004;28:377–80.

    Article  Google Scholar 

  5. Uchino A, Saito N, Okada Y, Inoue K. Carotid-anterior cerebral artery anastomosis on MR angiography: a university hospital-based study. Neuroradiology. 2012;54:13–8.

    Article  Google Scholar 

  6. Wong ST, Yuen SC, Fok KF, Yam KY, Fong D. (2008) Infraoptic anterior cerebral artery: review, report of two cases and an anatomical classification. Acta Neurochir. (Wien) 2008;150:1087–96.

    Google Scholar 

  7. Okano N, Uchino A, Saito N, Maruyama H. Left carotid-anterior cerebral artery anastomosis diagnosed by MR angiography: a case report. Surg Radiol Anat. 2015;37:311–3.

    Article  Google Scholar 

  8. Uchino A, Saito N, Yamane F. Bilateral carotid-anterior cerebral artery anastomoses associated with bilateral ophthalmic arteries arising from the middle meningeal arteries diagnosed by magnetic resonance angiography: a case report. Surg Radiol Anat. 2017;39:1289–92.

    Article  Google Scholar 

  9. Uchino A, Saito N, Tanahashi N. Bilateral carotid-anterior cerebral artery anastomoses associated with bilateral ophthalmic arteries arising from the anastomotic arteries diagnosed by magnetic resonance angiography: a case report. Surg Radiol Anat. 2018;40:721–5.

    Article  Google Scholar 

  10. Matsuura K, Uchino A, Saito N, Ishida J, Suzuki T. Carotid-anterior cerebral artery (ACA) anastomosis associated with azygos ACA and ophthalmic artery arising from the middle meningeal artery: a case report. Surg Radiol Anat. 2020;42:211–4.

    Article  Google Scholar 

  11. Uchino A, Saito N, Kozawa E, Masutani S. Multiple variations of the cerebral arteries associated with tetralogy of Fallot: a case report. Surg Radiol Anat. 2017;39:1161–4.

    Article  Google Scholar 

  12. Hoshino E, Uchino A, Saito N, Yoshiba S. Association of tetralogy of Fallot with multiple variations of the cerebral arteries diagnosed by magnetic resonance angiography. Radiol Case Rep. 2020;15:349–52.

    Article  Google Scholar 

  13. Uchino A, Saito N, Kozawa E, Mizukoshi W, Inoue K. Persistent primitive olfactory artery: MR angiographic diagnosis. Surg Radiol Anat. 2011;33:197–201.

    Article  Google Scholar 

  14. Padget DH. Development of cranial arteries in human embryo. Contrib Embryol. 1948;32:205–62.

    Google Scholar 

  15. Uchino A, Ohno H, Ogiichi T. Persistent primitive olfactory artery without a hairpin turn. Surg Radiol Anat. 2021;43:231–4.

    Article  Google Scholar 

  16. Uchino A, Baba Y. Type 2 persistent primitive olfactory artery associated with bilateral ophthalmic arteries arising from the middle meningeal arteries diagnosed by magnetic resonance angiography. Surg Radiol Anat. 2021;43:1731–3.

    Google Scholar 

  17. Kim MS, Lee GJ. Persistent primitive olfactory artery: CT angiographic diagnosis and literature review for classification and clinical significance. Surg Radiol Anat. 2014;36:663–7.

    Article  Google Scholar 

  18. Uchino A, Mochizuki A. Persistent primitive olfactory artery associated with early bifurcated accessory anterior cerebral artery. Surg Radiol Anat. 2021;43:1731–3.

    Article  Google Scholar 

  19. Uchino A, Saito N, Nagamine Y, Takao M. Duplicate origin of the anterior cerebral artery diagnosed by magnetic resonance angiography: a case report. Surg Radiol Anat. 2016;38:1239–41.

    Article  Google Scholar 

  20. Sanders WP, Sorek PA, Mehta BA. Fenestration of intracranial arteries with special attention to associated aneurysms and other anomalies. AJNR Am J Neuroradiol. 1993;14:675–80.

    PubMed  PubMed Central  CAS  Google Scholar 

  21. Yoshida M, Ezura M, Sasaki K, Chonan M, Mino M. Endovascular repair of ruptured aneurysm arising from fenestration of the horizontal segment of the anterior cerebral artery: case report. Neurol Med Chir (Tokyo). 2012;52:924–7.

    Google Scholar 

  22. Paladino J, Pirker N, Gluncić V. Early bifurcation of the left A1 segment giving rise to both A2 segments and a hypoplastic right A1 segment. Acta Neurochir. 2000;142:825–6.

    Article  CAS  Google Scholar 

  23. Huber P, Braun J, Hirschmann D, Agyeman JF. Incidence of berry aneurysms of the unpaired pericallosal artery: angiographic study. Neuroradiology. 1980;19:143–7.

    Article  CAS  Google Scholar 

  24. Kashiwagi D, Kuroda S, Horiuchi N, Takahashi A, Asano T, Ishikawa T, Iwasaki Y. Ruptured aneurysm of bihemispheric anterior cerebral artery bifurcation: case report. No Shinkei Geka 2005;33:383–7. (In Japanese with English abstract).

    Google Scholar 

  25. Jalali A, Srinivasan VM, Kan P, Duckworth EAM. Association of anterior communicating artery aneurysms with triplicate A2 segment of the anterior cerebral artery. World Neurosurg. 2020;140:e234–9.

    Article  Google Scholar 

  26. Uchino A, Saito N, Uehara T, Neki H, Kohyama S, Yamane F. True fenestration of the anterior communicating artery diagnosed by magnetic resonance angiography. Surg Radiol Anat. 2016;38:1095–8.

    Article  Google Scholar 

  27. Choi JH, Jo KI, Kim KH, Jeon P, Yeon JY, Kim JS, Hong SC. Morphological risk factors for the rupture of anterior communicating artery aneurysms: the significance of fenestration. Neuroradiology. 2016;58:155–60.

    Article  Google Scholar 

  28. de Gast AN, van Rooij WJ, Sluzewski M. Fenestrations of the anterior communicating artery: incidence on 3D angiography and relationship to aneurysms. AJNR Am J Neuroradiol. 2008;29:296–8.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Radiology, Saitama Sekishinkai Hospital, Sayama, Saitama, Japan

    Akira Uchino

Authors
  1. Akira Uchino
    View author publications

    You can also search for this author in PubMed Google Scholar

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). Variations of the Proximal Anterior Cerebral Artery (ACA), Including Anterior Communicating Artery (ACoA). In: Atlas of the Supraaortic Craniocervical Arterial Variations. Springer, Singapore. https://doi.org/10.1007/978-981-16-6803-6_9

Download citation

  • DOI: https://doi.org/10.1007/978-981-16-6803-6_9

  • 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

Search

Navigation