Abstract
Atypical origins of the vertebral and the inferior thyroid arteries are rare anatomical findings. We present the case of a right-sided thyrovertebral trunk observed in a 91-year-old female cadaver. In this extremely rare vascular variation both the vertebral and the inferior thyroid arteries jointly originated from the subclavian artery as its first branch by forming a short trunk. A thyrocervical trunk was absent resulting in anomalous origins of most subclavian branches. The vertebral artery travelled cranially entering the transverse foramen of the fifth cervical vertebrae. We furthermore discuss the clinical significance of this variation in the context of surgical and interventional procedures performed in the lateral neck region.
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Adachi B, Hasebe K (1928) Das Arteriensystem der Japaner. Anatomie der Japaner, Kaiserlich-Japanische Universität zu Kyoto, In Kommission bei “Maruzen Co.”, vol I. Kyoto and Tokyo, Kyoto, pp 135–196
Bailey MA, Holroyd HR, Patel JV, Lansbury AJ, Scott DJ (2009) The right vertebral artery arising as a branch of the right internal carotid artery: report of a rare case. Surg Radiol Anat 31:819–821
Bell RH, Swigart LL, Anson BJ (1950) The relation of the vertebral artery to the cervical vertebrae. Q Bull Northwest Univ Med Sch Chic 24(3):184–185
Bergman RA (1988) Compendium of human anatomic variation: text, atlas, and world literature. Urban & Schwarzenberg, Baltimore, Munich, pp 353–368
Daseler EH, Anson BJ (1959) Surgical anatomy of the subclavian artery and its branches. Surg Gynecol Obstet 108(2):149–174
Garcia Alzamora M, Rosahl SK, Lehmberg J, Klisch J (2005) Life-threatening bleeding from a vertebral artery pseudoaneurysm after anterior cervical spine approach: endovascular repair by a triple stent-in-stent method. Case report. Neuroradiology 47(4):282–286
Goddard AJ, Annesley-Williams D, Guthrie JA, Weston M (2001) Duplication of the vertebral artery: report of two cases and review of the literature. Neuroradiology 43(6):477–480
Lemke AJ, Benndorf G, Liebig T, Felix R (1999) 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 20(7):1318–1321
Lippert H, Pabst R (1985) Arterial variations in man: classification and frequency. Bergmann Verlag, Munich, pp 80–82
Moriggl B, Sturm W (1996) Absence of three regular thyroid arteries replaced by an unusual lowest thyroid artery (A. thyroidea ima): a case report. Surg Radiol Anat 18(2):147–150
Neo M, Fujibayashi S, Miyata M, Takemoto M, Nakamura T (2008) Vertebral artery injury during cervical spine surgery: a survey of more than 5600 operations. Spine (Phila Pa 1976) 33(7):779–785
Rieger P, Huber G (1983) Fenestration and duplicate origin of the left vertebral artery in angiography. Report of three cases. Neuroradiology 25(1):45–50
Sartor K, Freckmann N, Boker DK (1980) Related anomalies of origin of left vertebral and left inferior thyroid arteries: report of three cases. Neuroradiology 19(1):27–30
Thomson A (1891) Second Annual Report of the Committee of Collective Investigation of the Anatomical Society of Great Britain and Ireland for the year 1890–91. J Anat 26(Pt 1):76–93
Weiglein AH (1996) A rare variant of thyroid gland vascularization. Surg Radiol Anat 18(3):233–235
Weiglein AH, Moriggl B, Schalk C, Künzel KH, Müller U (2005) Arteries in the posterior cervical triangle in man. Clin Anat 18(8):553–557
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D. Hölbling Patscheider and P. Santer contributed equally to this work.
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Hölbling Patscheider, D., Santer, P. & Fritsch, H. Unilateral thyrovertebral trunk: report of a rare arterial variant. Surg Radiol Anat 33, 455–457 (2011). https://doi.org/10.1007/s00276-010-0765-7
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DOI: https://doi.org/10.1007/s00276-010-0765-7