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Chen J, Liu L, Kou X, Wang C. Case report: Right vertebral and carotid artery anomalies with an aberrant right subclavian artery in two patients. Front Neurol 2023; 14:1282127. [PMID: 38152639 PMCID: PMC10751957 DOI: 10.3389/fneur.2023.1282127] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2023] [Accepted: 11/28/2023] [Indexed: 12/29/2023] Open
Abstract
Abnormal origins of the vertebral artery with supra-aortic vessel variants are exceedingly uncommon. Herein, we present two cases of the vertebral artery originating from the right common carotid artery associated with the right subclavian artery arising separately as the initial branch of the aortic arch, followed by the right common carotid artery. We reviewed the embryology of the anomalous origins of the vertebral and subclavian arteries. These variants can significantly affect surgical planning and cause severe clinical symptoms.
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Affiliation(s)
- Jiang Chen
- Department of Neurosurgery, West China Hospital of Sichuan University, Chengdu, China
- Department of Neurosurgery, Dazhu Hospital, Dazhou, China
| | - LunXin Liu
- Department of Neurosurgery, West China Hospital of Sichuan University, Chengdu, China
| | - Xiaobo Kou
- Department of Neurosurgery, The First People’s Hospital in Shuangliu District/West China Airport Hospital, Sichuan University, Chengdu, China
| | - Chaohua Wang
- Department of Neurosurgery, West China Hospital of Sichuan University, Chengdu, China
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A novel variant of the aortic arch great vessels. Clin Neurol Neurosurg 2022; 214:107172. [DOI: 10.1016/j.clineuro.2022.107172] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2021] [Revised: 02/07/2022] [Accepted: 02/08/2022] [Indexed: 11/21/2022]
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Dădârlat-Pop A, Molnar A, Oprea A, Tomoaia R, Boros B, Literat S, Serban A, Manole S. Imaging Challenges in the Diagnosis of Anatomical Variations of the Supra-Aortic Vessels: A Case Report and Review of Literature. Diagnostics (Basel) 2022; 12:diagnostics12010169. [PMID: 35054336 PMCID: PMC8774562 DOI: 10.3390/diagnostics12010169] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2021] [Revised: 01/08/2022] [Accepted: 01/10/2022] [Indexed: 02/01/2023] Open
Abstract
A 73-year-old woman was referred to our Cardiology Department due to recurrent headaches and dizziness. She had a history of hypertension of 10 years. In the territorial hospital, left internal carotid artery significant stenosis was suspected. Neurological examination and laboratory tests were normal. A neck vascular ultrasound was performed, showing a low bifurcation of the left common carotid artery (CCA) and a hypoplastic left internal carotid artery (ICA) with a sinuous path at the cervical level. Therefore, a computed tomographic (CT) angiography examination of the head and neck vessels was performed. The images confirmed the presence of a hypoplastic left ICA, anatomic variation in the left CCA, and also showed that the left vertebral artery (VA) was stemming directly from the aortic arch, exhibiting a kinking trajectory.
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Affiliation(s)
- Alexandra Dădârlat-Pop
- Cardiology Department, Heart Institute Niculae Stăncioiu, 19-21 Motilor Street, 400001 Cluj-Napoca, Romania; (A.D.-P.); (B.B.); (S.L.);
- Department of Cardiology, Iuliu Haţieganu University of Medicine and Pharmacy, 8 Victor Babes Street, 400012 Cluj-Napoca, Romania
| | - Adrian Molnar
- Cardiovascular Surgery Department, Heart Institute Niculae Stăncioiu, 19-21 Motilor Street, 400001 Cluj-Napoca, Romania; (A.M.); (A.O.)
- Department of Cardiovascular Surgery, Iuliu Haţieganu University of Medicine and Pharmacy, 8 Victor Babes Street, 400012 Cluj-Napoca, Romania
| | - Alexandru Oprea
- Cardiovascular Surgery Department, Heart Institute Niculae Stăncioiu, 19-21 Motilor Street, 400001 Cluj-Napoca, Romania; (A.M.); (A.O.)
- Department of Cardiovascular Surgery, Iuliu Haţieganu University of Medicine and Pharmacy, 8 Victor Babes Street, 400012 Cluj-Napoca, Romania
| | - Raluca Tomoaia
- Cardiology Department, Heart Institute Niculae Stăncioiu, 19-21 Motilor Street, 400001 Cluj-Napoca, Romania; (A.D.-P.); (B.B.); (S.L.);
- Department of Cardiology, Iuliu Haţieganu University of Medicine and Pharmacy, 8 Victor Babes Street, 400012 Cluj-Napoca, Romania
- Correspondence:
| | - Bianca Boros
- Cardiology Department, Heart Institute Niculae Stăncioiu, 19-21 Motilor Street, 400001 Cluj-Napoca, Romania; (A.D.-P.); (B.B.); (S.L.);
| | - Sorin Literat
- Cardiology Department, Heart Institute Niculae Stăncioiu, 19-21 Motilor Street, 400001 Cluj-Napoca, Romania; (A.D.-P.); (B.B.); (S.L.);
| | - Adela Serban
- Cardiology Department, Heart Institute Niculae Stăncioiu, 19-21 Motilor Street, 400001 Cluj-Napoca, Romania; (A.D.-P.); (B.B.); (S.L.);
- Department of Cardiology, Iuliu Haţieganu University of Medicine and Pharmacy, 8 Victor Babes Street, 400012 Cluj-Napoca, Romania
| | - Simona Manole
- Department of Radiology and Medical Imaging, Heart Institute Niculae Stăncioiu, 19-21 Motilor Street, 400001 Cluj-Napoca, Romania;
- Department of Radiology and Medical Imaging, “Iuliu Hatieganu” University of Medicine and Pharmacy Cluj Napoca, 8, Victor Babes, St, 400012 Cluj-Napoca, Romania
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Ali A, Sedora Roman NI, Cox M, Kung D, Choudhri O, Hurst RW, Pukenas BA. Anomalous Origin of the Right Vertebral Artery from the Right Common Carotid Artery. Cureus 2018; 10:e3602. [PMID: 30680263 PMCID: PMC6338398 DOI: 10.7759/cureus.3602] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
The anomalous origin of the right vertebral artery (VA) from the right common carotid artery (CCA) is a rare vascular anomaly, which is usually clinically asymptomatic and found incidentally during angiographic examinations. This anomaly is invariably associated with an aberrant right subclavian artery (RSCA). Approximately 31 cases have been reported in the literature. We present a case of a right VA originating from the right CCA in a patient with Down syndrome and discuss the imaging findings, embryological etiology of the anomaly, as well as its implications for endovascular/surgical treatment.
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Affiliation(s)
- Aamir Ali
- Cardiology, Beth Israel Deaconess Medical Center, Boston, USA
| | | | - Mougnyan Cox
- Radiology, Hospital of the University of Pennsylvania, Philadelphia, USA
| | - David Kung
- Neurosurgery, Hospital of the University of Pennsylvania, Philadelphia, USA
| | - Omar Choudhri
- Neurosurgery, Hospital of University of the Pennsylvania, Philadelphia, USA
| | - Robert W Hurst
- Radiology, Hospital of the University of Pennsylvania, Philadelphia, USA
| | - Bryan A Pukenas
- Radiology, Hospital of the University of Pennsylvania, Philadelphia, USA
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