Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Anomalous Variations of the Origin and Course of Vertebral Arteries in Patients with Retroesophageal Right Subclavian Artery

  • Kim, Young-Don (Department of Neurosurgery, School of Medicine, Catholic University of Daegu) ;
  • Yeo, Hyung-Tae (Department of Neurosurgery, School of Medicine, Catholic University of Daegu) ;
  • Cho, Young-Dae (Department of Radiology, School of Medicine, Seoul National University)
  • Published : 2009.05.28
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Abstract

We present two rare cases of anomalous vertebral artery (VA) with retroesophaqeal right subclavian artery. One patient had a right VA arising from the right common carotid artery (CCA), and a left VA originating from the third branch off the aorta. Both VAs ascended anteriorly to the transverse foramen of C5 to C6 vertebra and entered the transverse foramen of C4. The other patient had a right VA arising from the right CCA and entering the transverse foramen of C5. The presence of anomalous variations of the oriqin and course of vertebral artery might have serious implications in anqioqraphic and surgical procedures, and it is of great importance to be aware of such a possibility.

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References

  1. Fazan VPS, Ribeiro RA, Ribeiro JAS, Filho OAR : Right retroesophageal subclavian artery. Acta Cir Bras 18 (Suppl 5) : 54-56, 2003
  2. Gluncic V, Ivikic G, Marin D, Percac S : Anomalous origin of both vertebral arteries. Clin Anat 12 : 281-284, 1999 https://doi.org/10.1002/(SICI)1098-2353(1999)12:4<281::AID-CA8>3.0.CO;2-6
  3. Rieger P, Huber G : Fenestration and duplicate origin of the left vertebral artery in angiography. Neuroradiology 25 : 45-50, 1983 https://doi.org/10.1007/BF00327480
  4. Roszel AJ, Kiely ML : A retroesophageal right subclavian artery with the right vertebral artery originating from the right common carotid artery. Clin Anat 4 : 373-379, 1991 https://doi.org/10.1002/ca.980040508
  5. Sanudo J, Vazquez R, Puerta J. Meaning and clinical interest of the anatomical variations in the 21st century. Eur J Anat 7 (Suppl 1) : 1-3, 2003
  6. Satti SR, Cerniglia CA, Koenigsberg RA : Cervical vertebral artery variations : an anatomic study. AJNR Am J Neuroradiol 28 : 976-980, 2007
  7. Shoja MM, Tubbs RS, Khaki AA, Shokouhi G, Farahani RM, Moein A : A rare variation of the vertebral artery. Folia Morphol (Warsz) 65 : 167-170, 2006
  8. Tsai IC, Tzeng WS, Lee T, Jan SL, Fu YC, Chen MC, et al : Vertebral and carotid artery anomalies in patients with aberrant right subclavian arteries. Pediatr Radiol 37 : 1007-1012, 2007 https://doi.org/10.1007/s00247-007-0574-2

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