scholarly journals Anomalous origin of the left vertebral artery in humans: A rare anatomical finding?

2015 ◽  
Vol 4 (2) ◽  
pp. 224
Author(s):  
José Aderval Aragão ◽  
Júlio César Claudino dos Santos ◽  
Dhayanna Rolemberg Gama Cabral ◽  
Carlos Augusto de Oliveira Filho ◽  
Henrique Pereira Barros

<p>Context: Anatomical and morphological variations of the aortic arch and its branches are important in relation to thoracic and neck surgery. However, developmental abnormalities of the vertebral arteries are generally considered to be very rare. They have mostly been described in single case reports or small series. Thus, there is a need for further knowledge as an aid in planning surgery on the aortic arch or endovascular interventions. Objective: To report on a case of anomalous origin in the left vertebral artery. Case report: In a male cadaver, a left vertebral artery with its origin in the aortic arch between the left common carotid and left subclavian arteries was observed. Its length was 120 mm, and its diameter was 5.5 mm. It entered the transverse foramen of the third cervical vertebra. Conclusion: Knowledge of the anatomical variation of the origin of the vertebral artery is important not only diagnostically but also in planning surgery on the aortic arch or endovascular interventions.</p>

2004 ◽  
Vol 10 (4) ◽  
pp. 309-314 ◽  
Author(s):  
P.A. Brouwer ◽  
M.P.S. Souza ◽  
R. Agid ◽  
K.G. terBrugge

In this case presentation we describe a patient with an anomalous origin of the right vertebral artery arising from the right common carotid artery in combination with an aberrant right subclavian artery and a left vertebral artery originating from the arch between the left common carotid artery and left subclavian artery. Hence there were five vessels originating from the aortic arch. The possible embryological mechanism as well as a postulation on the importance of the level of entrance of the vertebral artery in the cervical transverse foramen is discussed.


2021 ◽  
Vol 11 (17) ◽  
pp. 8171
Author(s):  
Kohei Tokuyama ◽  
Hiro Kiyosue ◽  
Hiroshi Baba ◽  
Yoshiki Asayama

An anomalous origin of the right vertebral artery (VA) is a rare anomaly that is much rarer than that of the left VA. It can be divided into a few patterns, including aortic origin, right carotid or brachiocephalic arterial origin, and duplicated origin. In embryological development, the VA is made up of a longitudinal anastomosis between cervical segments. The mechanism of the anomalous origin of the right VA can be explained by the persistence of the cervical segmental artery and the regression point of the 4th right aortic arch. Although the anomaly is usually found incidentally on imaging modalities, it can be a potential cause of complication during surgical and interventional procedures. However, there are a lot of reports about the radiomics of the anomaly. Therefore, we discuss the potential relationship between the anomalous origin of the right VA and radiomics. As the take-home message, understanding several patterns of anomalous origin of the right VA with their embryology and imaging findings is important for surgical and endovascular interventions to avoid intraprocedural complications.


Aorta ◽  
2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Evan Einstein ◽  
Linda Huijie Song ◽  
Natalia Luisa Arias Villela ◽  
Gregory Brian Fasani-Feldberg ◽  
Jonathan L. Jacobs ◽  
...  

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Aprajita Sikka ◽  
Anjali Jain

Understanding the great vessels of the aortic arch and their variations is important for both the endovascular interventionist and the diagnostic radiologist. An understanding of the variability of the vertebral artery remains most important in angiography and surgical procedures where an incomplete knowledge of anatomy can lead to serious implications. In the present case, a bilateral variation in the origin and course of vertebral artery was observed. The left vertebral artery took origin from the arch of aorta and entered the foramen transversarium of the fourth cervical vertebra. The right vertebral artery took origin from the right subclavian artery close to its origin and entered the foramen transversarium of the third cervical vertebra. The literature on the variations of the artery is studied and its clinical significance and ontogeny is discussed.


2016 ◽  
Vol 5 (1) ◽  
pp. 33-38
Author(s):  
Divya Premchandran ◽  
Sampath Madhyastha

Las variaciones de los principales vasos arteriales son de importancia clínica. La arteria vertebral (VA) normalmente surge de la arteria subclavia. El presente informe describe un origen anómalo de la arteria vertebral izquierda (LVA) desde el arco aórtico entre el origen de la subclavia izquierda y la arteria carótida común izquierda. Esta arteria cruzó superficialmente de medial a lateral el tronco simpático izquierdo. La VA izquierda y derecha entraban en los agujeros transversos de la quinta vértebra cervical. Aunque el origen anómalo de la VA es bien conocida, su origen y la entrada a través del foramen transversal y sus relaciones con tronco simpático son de importancia clínica y durante los procedimientos vasculares en la región de cabeza y cuello tales como los stent de arteria carótida o vertebral y las intervenciones intracraneales. Variations of major arterial vessels are of clinical significance. The vertebral artery (VA) normally arises from the subclavian artery. The present report describes an anomalous origin of the left vertebral artery (LVA) from the aortic arch between the origin of the left subclavian and the left common carotid arteries. This artery was crossed superficially from medial to lateral by the left sympathetic trunk. The left and right VA entered the foramen on the transverse process of the fifth cervical vertebra. Though the anomalous origin of the VA is known, its origin and entry through the transverse foramen and its relations with sympathetic trunk are of importance during clinical and vascular procedures in the head and neck region like carotid artery stents, VA stents and intracranial interventions.


Aorta ◽  
2016 ◽  
Vol 04 (02) ◽  
pp. 64-67 ◽  
Author(s):  
Evan Einstein ◽  
Linda Song ◽  
Natalia Villela ◽  
Gregory Fasani-Feldberg ◽  
Jonathan Jacobs ◽  
...  

AbstractAnatomic anomalies of the aortic arch have implications for clinical practice if their significance is understood. Our case study involves a cadaveric finding of the left vertebral artery originating directly from the aortic arch. Although this anatomical variation has been documented, the prevalence of this anomaly may be generally underestimated. After noting this anomaly, we analyzed 27 cases and found that four female cadavers had the left vertebral artery originating from the aortic arch rather than the left subclavian artery. With a prevalence rate of 14.8%, it would seem that this anomaly is more significant than previously thought, which could have implications for surgical practice.


2019 ◽  
Vol 29 (3) ◽  
pp. 414-415
Author(s):  
Niraj N. Pandey ◽  
Arun Sharma ◽  
Sanjeev Kumar

AbstractWe present a case of a 3-week-old boy with persistent truncus arteriosus associated with interrupted right aortic arch having an anomalous origin of the left vertebral artery from the ascending aorta.


2021 ◽  
Vol 19 (3) ◽  
pp. 277-279
Author(s):  
Maria Jasiewicz ◽  
◽  
Piotr Sajdak ◽  
Aleksandra Sopel ◽  
Kamil Strzępek ◽  
...  

Introduction. Although there are lots of varieties of aorta arch, they seem to appear relatively rarely. Anomalies of aortic arch departures are mainly concerned with its location, course, the place of departure and number of its main branches. However, they warrant attention due to their importance in operative, diagnostic, and endovascular procedures. Aim. We want to present here a case of a female cadaver with rare aortic arch origin of the left vertebral artery. The aim of this article is to complete the frame of anomalies in aortic arch and to explore rare variability shown in this specific case. Description of the case. The present report describes an anomalous case of the left vertebral artery arising from the aortic arch between the left common carotid artery and the left subclavian artery in a female cadaver during dissection in an anatomical laboratory. Aortic origin of the vertebral artery is a rare anatomic variant. Conclusion. Thorough knowledge of anomalous origin is important for patients who undergo operation of an aortic arch or inferior part of the neck. Normally, the vertebral artery arises from the first part of the subclavian artery on both sides.


ISRN Anatomy ◽  
2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Virendra Budhiraja ◽  
Rakhi Rastogi ◽  
Vaishali Jain ◽  
Vishal Bankwar ◽  
Shiv Raghuwanshi

Variations of the branches of aortic arch are due to alteration in the development of certain branchial arch arteries during embryonic period. Knowledge of these variations is important during aortic instrumentation, thoracic, and neck surgeries. In the present study we observed these variations in fifty-two cadavers from Indian populations. In thirty-three (63.5%) cadavers, the aortic arch showed classical branching pattern which includes brachiocephalic trunk, left common carotid artery, and left subclavian artery. In nineteen (36.5%) cadavers it showed variations in the branching pattern, which include the two branches, namely, left subclavian artery and a common trunk in 19.2% cases, four branches, namely, brachiocephalic trunk, left common carotid artery, left vertebral artery, and left subclavian artery in 15.3% cases, and the three branches, namely, common trunk, left vertebral artery, and left subclavian artery in 1.9% cases.


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