https://www.ijmhr.org/ijar.htm editor_anatomy@ijmhr.org
ISSN:       2321-4281 (E) 2321-8967 (P)

IJAR.2018.421

DOWNLOAD PDF
Table of Contents

Type of Article:  Case Report

Volume 7; Issue 1.1 (January 2019)

Page No.: 6128-6131

DOI: https://dx.doi.org/10.16965/ijar.2018.421

UNIQUE FIVE VESSEL PATTERN OF HUMAN AORTIC ARCH: A CASE REPORT

Dolly *1, C.S. Ramesh Babu 2, Vishnu Gupta 3, Sudhir Sachar 4.

*1 P.G. Resident, Department of Anatomy, Muzaffarnagar Medical College, Muzaffarnagar, (U.P.), India.

2 Associate Professor, Department of Anatomy, Muzaffarnagar Medical College, Muzaffarnagar, (U.P.), India.

3 Professor and Head, Department of Anatomy, Muzaffarnagar Medical College, Muzaffarnagar, (U.P.), India.

4 Professor and Head, Department of Radiodiagnosis, Muzaffarnagar Medical College, Muzaffarnagar, (U.P.), India.

Corresponding Author: Dr. Dolly, P.G. Resident, Department of Anatomy, Muzaffarnagar Medical College, NH -58, opposite Begrajpur Industrial Area, Muzaffarnagar (U.P.), Pin- 251203 E-Mail: pathfinderdg81@gmail.com

ABSTRACT:

We report here a unique vascular pattern of left sided aortic arch, detected incidentally in a 55 year old female, who underwent CECT chest for symptom of chronic cough. There were five vessels arising from the convex aspect of the arch with sequence as right common carotid artery (RCCA), left common carotid artery (LCCA), left vertebral artery (LVA), left subclavian artery (LSA) and aberrant right subclavian artery (ARSA).

Key words: Aortic arch anomalies, Aberrant right subclavian artery, aortic origin of left vertebral artery.

REFERENCES

  1. Adachi B: Das arteriensystem der Japaner. Vol 1. 1st Verlag der Kaiserlich-Japanichen Universitat, Kenyusha Press, Kyoto 1928;22-43.
  2. Anson (1963) cited in Gray’s Anatomy: The Anatomical basis of clinical practice 39th ed.Edinberg: Churchill Livingstone; 2005;1021-1022.
  3. Lale P, Toprak U, Yagiz G et al: Variations in the branching pattern of aortic arch detected with computerized tomography angiography. Advances in Radiology [http://dx.doi.org/10.1155/2014/969728]
  4. Natsis KI, Tsitouridis IA, Didagelos MV, Fillipidis AA, Vlasis KG, Tsikaras PD: Anatomical variations in the branches of the human aortic arch in 633 angiograpahies: clinical significance and literature review. Surgical and Radiological Anatomy 2009;31:319-323.
  5. Bergman RA, Afifi AK, Miyauchi R: Illustrated encyclopedia of human anatomic variation.[http://www.anatomyatlases.org/AnatomicVariants/Cardiovascular/Text/Arteries/Aorta.shtml]
  6. Mligiliche NL, Isaac ND: A three branches aortic arch variant with a bi-carotid trunk and a retro-esophageal right subclavian artery. IJAV 2009;2:11-14.
  7. Ramesh Babu CS, Gupta KK, Qasim M, Gupta OP. Heterotaxy Polysplenia syndrome in an adult with unique vascular anomalies: Case report with review of literature. Radiology Case (JRCR); 2015; 9(7): 22-37.
  8. Acar M, Ulusoy M, Zararsiz I, Efe D: Anatomical variations in the branching of human aortic arch. Biomed Res- India 2013;24(4):531-535.
  9. Gluncic V, Ivkic G, Marin D, Percac S: Anomalous origin of both vertebral arteries. Clin Anat. 1999;12(4):281-84.
  10. Kieffer E, Bahnini A, Koskas F: Aberrant subclavian artery: surgical treatment in thirty-three adult patients. J. Vasc. Surg. 1994;19:100-109.
  11. Van Son JAM, Konstantinov IE, Burckhard F: Kommerell and Kommerell’s diverticulum. Tex Heart Inst J 2002;29:109-12.
  12. Fazan VPS, Ribeiro RA, Ribeiro JAS, Rodrigues Filho OA: Right retroesophageal subclavian artery. Acta Cir Bras 2003;18:54-6.
  13. Ughade JM, Kardile PB, Ughade MN, Chaware PN, Pandit SV: Anomalous arch of aorta giving rise to left vertebral artery. Int J Biol Res 2012;3(4):2452-54.
  14. Satti SR, Cerniglia CA, Koenigsberg KA: Cervical vertebral artery variations: an anatomic study. American Journal of Neuroradiology 2007;28(5):976-80.
  15. Albayram S, Gailloud P, Wasserman BA: Bilateral arch origin of the vertebral arteries. AJNR Am J Neuroradiol 2002;23(3):455-8.
  16. Komiyama M, Morikawa T, Nakajima H, Nishikawa M, Yasui T: High incidence of arterial dissection associated with left vertebral artery of aortic origin. Neurol med chir (Tokyo) 2001;41:8-12.

Cite this article: Dolly, C.S. Ramesh Babu, Vishnu Gupta, Sudhir Sachar. UNIQUE FIVE VESSEL PATTERN OF HUMAN AORTIC ARCH: A CASE REPORT. Int J Anat Res 2019;7(1.1):6128-6131. DOI: 10.16965/ijar.2018.421