Case ReportCommon Trunks of the Subclavian and the Vertebral Arteries: Presentation of a New Aortic Arch Anomaly
Section snippets
Case Report
A 7-month-old girl presented with a history of cardiac murmur detected during hospital stay because of pneumonia. She had been seen at a tertiary medical center with complaints of sweating, fatique, dyspnea, and cyanosis, as well as a history of frequent respiratory infections. She had been given the diagnosis of patent ductus arteriosus and coarctation of the aorta by echocardiography. On physical examination her weight was below the 25th percentile, pulse rate was 150 bpm, blood pressure was
Discussion
Variations of the aortic arch vessels are important for surgens and radiologists because of their coexistence with other cardiovascular anomalies and for the surgical plan. Szpinda et al.1 reported 20.6% of fetuses showing a common origin of the brachiocephalic trunk and the left common carotid artery in their autopsy series. According to Poultsides et al.,2 the most frequently seen aortic arch anomaly is a common origin of the innominate and left carotid arteries (16%), followed by common
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Cited by (8)
Normal Vascular Structures and Variants on Head and Neck Imaging
2022, Neuroimaging Clinics of North AmericaCitation Excerpt :If there is size asymmetry, one must differentiate between a pathologic stenosis or normal vessel. Variant origins: Examples include the left VA originating directly from the aortic arch between the brachiocephalic and left subclavian origins (most common) or arising distal to the left subclavian artery.31 Variant origins of right VA are less frequent (Fig. 29).32
Frequency of variations in aortic arch anatomy depicted on multidetector CT
2010, Clinical RadiologyCitation Excerpt :In addition both common carotid arteries shared a common origin, and a right aberrant retro-oesophageal subclavian artery arose as the last branch. Cetin et al.,12 as an incidental finding at cardiac catheterization, also described aberrant vertebral artery origins, namely each having a shared trunk with each respective subclavian artery bilaterally. In a cadaveric study of 193 Japanese men, Nelson and Sparks12 identified an individual with anomalous branches, namely, from right to left: right subclavian; left subclavian, right common carotid, and left common carotid branches, respectively.
Arteria Lusoria: Descriptive Anatomy, Topography and Clinical Implications at the HUBERT KOUTOUKOU MAGA National University Hospital Center (CNHU-HKM)
2023, International Journal of Anatomy and ResearchBilateral common carotid artery common trunk with aberrant right subclavian artery combined with right subclavian steal syndrome: A case report
2019, World Journal of Clinical CasesVertebro-subclavian trunk: A rare aortic arch anomaly
2018, Journal of Clinical and Diagnostic Research