Anomalous origin of the left vertebral artery from the arch of the aorta

Authors

  • Maria Jasiewicz Student’s Anatomical Scientific Club, Institute of Medical Sciences, Medical College of Rzeszow University, Rzeszow, Poland https://orcid.org/0009-0008-0718-2528
  • Piotr Sajdak Student’s Anatomical Scientific Club, Institute of Medical Sciences, Medical College of Rzeszow University, Rzeszow, Poland https://orcid.org/0009-0001-1771-8874
  • Aleksandra Sopel Student’s Anatomical Scientific Club, Institute of Medical Sciences, Medical College of Rzeszow University, Rzeszow, Poland
  • Kamil Strzępek Student’s Anatomical Scientific Club, Institute of Medical Sciences, Medical College of Rzeszow University, Rzeszow, Poland
  • Seweryn Ziajor Student’s Anatomical Scientific Club, Institute of Medical Sciences, Medical College of Rzeszow University, Rzeszow, Poland https://orcid.org/0000-0001-8430-1764
  • Anna Pliszka Student’s Anatomical Scientific Club, Institute of Medical Sciences, Medical College of Rzeszow University, Rzeszow, Poland https://orcid.org/0000-0003-3548-5362
  • Krzysztof Balawender Department of Morphological Sciences, Institute of Medical Sciences, Medical College of Rzeszow University, Rzeszow, Poland; Department of Urology and Urological Oncology, Municipal Hospital in Rzeszow, Rzeszow, Poland https://orcid.org/0000-0002-8706-1927

DOI:

https://doi.org/10.15584/ejcem.2021.3.14

Keywords:

anatomy, dissection, vertebral artery

Abstract

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.

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References

Kau T, Sinzig M, Gasser J, et al. Aortic development and anomalies. Semin Intervent Radiol. 2007;24(2):141-152.

Blackwelder H, Madueme P, Dadlani G, Ivsic, T. Multi-modality assessment of the aortic arch branching and vascular rings. Porg Pediatr Cardiol. 2020;58:1-12.

Shahoud JS, Miao JH, Bolla SR. Anatomy, Thorax, Heart Aorta. 2020 Jan [Updated 2020 Aug 15]. https://www.statpearls.com/

Paluszek P, Pieniążek P, Musiałek P. Angioplastyka objawowych zwężeń tętnic kręgowych z zastosowaniem stentów konwencjonalnych i pokrytych lekiem antymitotycznym. Post Kardiol Interw 2009;1(15):1-6.

Uchino A, Saito N, Takahashi M, et al. Variations in the origin of the vertebral artery and its level of entry into the transverse foramen diagnosed by CT angiography. Neuroradiology. 2013;55(5):585-594.

Prince EA, Ahn SH. Basic vascular neuroanatomy of the brain and spine: what the general interventional radiologist needs to know. Semin Intervent Radiol. 2013;30(3):234-239.

Priya S, Thomas R, Nagpal P, Sharma A, Steigner M. Congenital anomalies of the aortic arch. Cardiovasc Diagn Ther. 2018;8(1):26-44.

Uchino A, Saito N, Watadani T, et al. Vertebral artery variations at the C1-2 level diagnosed by magnetic resonance angiography. Neuroradiology. 2012;54(1):19-23.

Vučurević G, Marinković S, Puškaš L, et al. Anatomy and radiology of the variations of aortic arch branches in 1,266 patients. Folia Morphol (Warsz). 2013;72(2):113-122.

Wakao N, Takeuchi M, Kamiya M, et al. Variance of cervical vertebral artery measured by CT angiography and its influence on C7 pedicle anatomy. Spine (Phila Pa 1976). 2014;39(3):228-332.

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. 2001;41(1):8-12.

Yuan SM. Aberrant Origin of Vertebral Artery and its Clinical Implications. Braz J Cardiovasc Surg. 2016;31(1):52-59.

Bravo C, Gámez F, Pérez R, Álvarez T, De León-Luis J. Fetal Aortic Arch Anomalies: Key Sonographic Views for Their Differential Diagnosis and Clinical Implications Using the Cardiovascular System Sonographic Evaluation Protocol. J Ultrasound Med. 2016;35(2):237-251.

Beyaz P, Khan N, Baltsavias G. Multiple anomalies in the origin and course of vertebral arteries and aberrant right subclavian artery in a child with moyamoya syndrome. BMJ Case Rep. 2018;2018:bcr-2017-013464.

Ali A, Abbas M, Saeed U. A rare cause of stroke in young: moyamoya disease. Postgraduate Medical Journal. 2020;96:119.

Zhang H, Zheng L, Feng L. Epidemiology, diagnosis and treatment of moyamoya disease. Exp Ther Med. 2019;17(3):1977-1984.

Meila D, Tysiac M, Petersen M, et al. Origin and course of the extracranial vertebral artery: CTA findings and embryologic considerations. Clin Neuroradiol. 2012;22(4):327-333.

Arslan M, Acar HI, Comert A, Tubbs RS. The Cervical Arteries: An Anatomical Study with Application to Avoid the Nerve Root and Spinal Cord Blood Supply. Turk Neurosurg. 2018;28(2):234-340.

Chandra A, Li WA, Stone CR, Geng X, Ding Y. The cerebral circulation and cerebrovascular disease I: Anatomy. Brain Circ. 2017;3(2):45-56.

Cagnie B, Barbaix E, Vinck E, D'Herde K, Cambier D, Dirk. Extrinsic risk factors for compromised blood flow in the vertebral artery: Anatomical observations of the transverse foramina from C3 to C7. Surg Radiol Anat. 2005;27:312-316.

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Published

2021-09-30

How to Cite

Jasiewicz, M., Sajdak, P., Sopel, A., Strzępek K., Ziajor, S., Pliszka, A., & Balawender, K. (2021). Anomalous origin of the left vertebral artery from the arch of the aorta. European Journal of Clinical and Experimental Medicine, 19(3), 277–279. https://doi.org/10.15584/ejcem.2021.3.14

Issue

Vol. 19 No. 3 (2021)

Section

CASUISTIC PAPERS

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