Indian Journal of Forensic Medicine & Toxicology

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Aortic Arch Variations: Embryological Basis and Surgical Correlation


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1 Department of Anatomy, Subharti Medical College, Delhi-Haridwar By Pass Road, Meerut (U.P.), India
     

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Branching patterns of the aortic arch were studied in 60 formalin fixed cadavers of both sexes of Indian origin, aged 40-70. The dissections were carried out and the aortic arch variations were observed after exposing the thoracic and cervical region during routine dissection for undergraduate M.B.B.S. students in Subharti Medical College, Meerut. The usual three branched aortic arch was found in 57 cadavers. Variations were found in 3 cadavers. Variations include common trunk of origin for brachiocephalic trunk and left common carotid artery, left vertebral artery arising directly from arch of aorta and brachiocephalic trunk arising from left side of aortic arch. In the present study the variations are discussed along with embryological basis and surgical correlation. Sometime these variations are merely observed as autopsy findings.

Keywords

Aortic Arch, Left Common Carotid Artery, Vertebral Artery, Brachiocephalic Trunk
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  • Sadler TW. Langman’s medical embryology, med tour press international (Warszawa) 1993; pp. 207-219.

  • Alek san drowicz R. two cases of absence of the brachicephalic trunk. Folia Morphol 1967; 26 : 235-237.

  • Roguin N, Sujov P, Shapir Y, Peleg H, Riss E. Single arterial trunk arising from the aortic arch associated with coarctation of aorta. Pediatr Radiol 1982; 12: 39-40.

  • Sora M, Strobl B, Forstner – streffleur S, Staykov D. aortic arch variations analysed by using plastination. Clinical Anat 2002; 15 : 379-383.

  • Kozielec T. Origin of left subclavian artery from the arterial duct in fetal life in man. Folia Morphol 1977; 36: 191-194.

  • Bernardil, Deton P. Angiographic study of a rare anomalous origin of the vertebral artery. Neuroradiology 1975; 9: 43 –47.

  • Lemke AJ, Benndorf G, Liebig T, Felix R. Anomalous origin of the right vertebral artery, review of the literature and case report of right vertebral artery origin distal to the left subclavian artery. AJNR Am J Neuroradiol 1999; 20: 1318-1321.

  • Czerwinski F, Mierzwa A, Krzanowski K, Michalska G. Rare case of arteries branching directly from aortic arch in the man. Folia Morphol 1993; 53: 223-231.

  • Lize J. Abnormal origin of the great vessels from the aortic arch. Folia Morphol 1970; 29: 401-402.

  • Bhatia K, Ghabriel MN, Henneberg M. Anatomical variations in the branches the human aortic arch, a recent study of a south Australian population. Folia Morphol 2005; 64 (3): 217-223.

  • Georgios Paras Kevas, Paris Agios, Marios stavarakas. Left common carotid artery arising from the brachiocephalic trunk. Cases Journal 2008, 1: 83.

  • Soubhagya R, Naya K, Mangala M Pai, Latha V Prabhu, Sujatha D Costa, Prakash Shetty. Anatomical organization of aortic arch variations in India: Embryological basis and review. J Vasc Bras 2006; 5 (2): 95-100.

  • Jerzy st. Gielecki, Renata Wilk, Bozenasy C. Digital-image analysis of the aortic arch’s development and its variations. Folia Morphol 2004; Vol 63 (4): 449-454.

  • Panicker H.K, Tarneka A, Dhawane V, Ghosh SK. Anomalous origin of left vertebral artery-embryological basis and applied aspects. J Anat. Soc. India 2002; 51 (2): 234-235.

  • Gupta Roopam Kumar, Mehta CD. Anomalous origin and potentially hazardous course of the brachiocephalic artery. J Anat. Soc India 2007; 56 (2) 38-41.

  • Satyapal KS, Singaram S, Pratab P, Kalideen JM, Robbs JV. Aortic arch branch variations-case report and angiographic analysis. S Atr surg. 2003; 41: 48-50.

  • Moskowitz WB, Topazo. The implications of common brachiocephalic trunk on associated congenital cardiovascular defects and their management. Cardiol Young 2003; 13: 537-543.

  • Matula C, Trattnig S, Tschabitscher M, Day JD, Koos WT. the course of the prevertebral segment of the vertebral artery, anatomy and clinical significance. Surg. Neurol 1997; 48 (2): 125-131.

  • Mukadam GA, Hoskings E. Aberrant brachiocephalic artery precluding placement of tracheostomy. Anesthesia 2002; 57: 297-298.

  • Muhammad JK, Major E, Wood A, Patton DW. Percutaneous dilatational tracheostomy: haemorrhagic complications and the vascular anatomy of the anterior neck, a review based on 497 cases. Int. J oral maxillofac. Surg. 2000; 29 (3): 217-222.


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  • Aortic Arch Variations: Embryological Basis and Surgical Correlation

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Authors

Virendra Budhiraja
Department of Anatomy, Subharti Medical College, Delhi-Haridwar By Pass Road, Meerut (U.P.), India
Rakhi Rastogi
Department of Anatomy, Subharti Medical College, Delhi-Haridwar By Pass Road, Meerut (U.P.), India

Abstract


Branching patterns of the aortic arch were studied in 60 formalin fixed cadavers of both sexes of Indian origin, aged 40-70. The dissections were carried out and the aortic arch variations were observed after exposing the thoracic and cervical region during routine dissection for undergraduate M.B.B.S. students in Subharti Medical College, Meerut. The usual three branched aortic arch was found in 57 cadavers. Variations were found in 3 cadavers. Variations include common trunk of origin for brachiocephalic trunk and left common carotid artery, left vertebral artery arising directly from arch of aorta and brachiocephalic trunk arising from left side of aortic arch. In the present study the variations are discussed along with embryological basis and surgical correlation. Sometime these variations are merely observed as autopsy findings.

Keywords


Aortic Arch, Left Common Carotid Artery, Vertebral Artery, Brachiocephalic Trunk

References