Skip to main content
Erschienen in: Surgical and Radiologic Anatomy 3/2017

23.06.2016 | Original Article

Branching patterns of the aortic arch: a computed tomography angiography-based study

verfasst von: Ayman G. Mustafa, Mohammed Z. Allouh, Jamaledin H. Abu Ghaida, Ma’moon H. Al-Omari, Wafa’ A. Mahmoud

Erschienen in: Surgical and Radiologic Anatomy | Ausgabe 3/2017

Einloggen, um Zugang zu erhalten

Abstract

Purpose

This study aimed to investigate the anatomical variations in direct branches of the aortic arch in Jordanians using the contrast Computed Tomography (CT) imaging techniques and to determine their prevalence according to sex.

Methods

This analytical, retrospective study included 500 patients (209 females, 291 males), who were referred to the Radio-Diagnostic Department at King Abdullah University Hospital for CT angiography of the aortic arch from 2010 to 2014. Patients were selected using a random sampling method.

Results

Six patterns of arrangement of arteries according to their origin from the aortic arch were identified in Jordanians. The most common pattern was the normal classical one and accounted for 61.2 % of cases. All other patterns were considered variations and accounted for 38.8 % of cases. Variation patterns were classified into six different types. There was no significant correlation (p > 0.05) between sex and the occurrence of different types of variations.

Conclusion

This study provides new information regarding the prevalence of aortic arch branching variations in Jordanians. A wide range of anatomical variations in the branching pattern of the aortic arch was observed. This should be taken into consideration during angiography, aortic instrumentation, and supra-aortic thoracic, head, and neck surgery.
Literatur
1.
Zurück zum Zitat Acar M, Ulusoy M, Zararsiz I, Efe D (2013) Anatomical variations in the branching of human aortic arch. Biomed Res 24(4):531–535 Acar M, Ulusoy M, Zararsiz I, Efe D (2013) Anatomical variations in the branching of human aortic arch. Biomed Res 24(4):531–535
2.
Zurück zum Zitat Bhatia K, Ghabriel MN, Henneberg M (2005) Anatomical variations in the branchesof the human aortic arch: a recent study of a South Australian population. Folia Morphol 64(3):217–224 Bhatia K, Ghabriel MN, Henneberg M (2005) Anatomical variations in the branchesof the human aortic arch: a recent study of a South Australian population. Folia Morphol 64(3):217–224
3.
Zurück zum Zitat Bhattarai C, Poudel PP (2010) Study on the variation of branching pattern of arch of aorta in Nepalese. Nepal Med Coll J 12(2):84–86PubMed Bhattarai C, Poudel PP (2010) Study on the variation of branching pattern of arch of aorta in Nepalese. Nepal Med Coll J 12(2):84–86PubMed
4.
Zurück zum Zitat Goray VB, Joshi AR, Garg A, Merchant S, Yadav B, Maheshwari P (2005) Aortic arch variation: a unique case with anomalous origin of both vertebral arteries as additional branches of the aortic arch distal to left subclavian artery. AJNR Am J Neuroradiol 26(1):93–95PubMed Goray VB, Joshi AR, Garg A, Merchant S, Yadav B, Maheshwari P (2005) Aortic arch variation: a unique case with anomalous origin of both vertebral arteries as additional branches of the aortic arch distal to left subclavian artery. AJNR Am J Neuroradiol 26(1):93–95PubMed
5.
Zurück zum Zitat Indumathi S, Sudha S, Hannah Sugirthabai Rajila R (2010) Aortic arch and variations in its branching pattern. J Clin Diagn Res 3134(4):3134–3143 Indumathi S, Sudha S, Hannah Sugirthabai Rajila R (2010) Aortic arch and variations in its branching pattern. J Clin Diagn Res 3134(4):3134–3143
6.
Zurück zum Zitat Karacan A, Türkvatan A, Karacan K (2014) Anatomical variations of aortic arch branching: evaluation with computed tomographic angiography. Cardiol Young 24(3):485–493CrossRefPubMed Karacan A, Türkvatan A, Karacan K (2014) Anatomical variations of aortic arch branching: evaluation with computed tomographic angiography. Cardiol Young 24(3):485–493CrossRefPubMed
7.
Zurück zum Zitat Khatri R, Maud A, Rodriguez GJ (2010) Aberrant right subclavian artery and common carotid trunk. J Vasc Interv Neurol 3(1):33–34PubMedPubMedCentral Khatri R, Maud A, Rodriguez GJ (2010) Aberrant right subclavian artery and common carotid trunk. J Vasc Interv Neurol 3(1):33–34PubMedPubMedCentral
8.
Zurück zum Zitat Mamatha H, Sushma RK, D’Souza AS, Kumar A (2013) Variant branching pattern of the arch of aorta: a study with embryological and clinical implications. Res Rev J Med Health Sci 2(2):48–53 Mamatha H, Sushma RK, D’Souza AS, Kumar A (2013) Variant branching pattern of the arch of aorta: a study with embryological and clinical implications. Res Rev J Med Health Sci 2(2):48–53
9.
Zurück zum Zitat McMinn RMH (1994) Last’s anatomy regional and applied, 9th edn. Churchill Livingstone, London McMinn RMH (1994) Last’s anatomy regional and applied, 9th edn. Churchill Livingstone, London
10.
Zurück zum Zitat MligilIche NL, Isaac ND (2009) A three branches aortic arch variant with a bi-carotid trunk and a retro-esophageal right subclavian artery. Int J Anat Var 2:11–14 MligilIche NL, Isaac ND (2009) A three branches aortic arch variant with a bi-carotid trunk and a retro-esophageal right subclavian artery. Int J Anat Var 2:11–14
11.
Zurück zum Zitat Moore KL, Dalley AF, Agur AMR (2010) Clinically oriented anatomy, 6th edn. Lippincott Williams and Wilkins, Philadelphia Moore KL, Dalley AF, Agur AMR (2010) Clinically oriented anatomy, 6th edn. Lippincott Williams and Wilkins, Philadelphia
12.
Zurück zum Zitat Müller M, Schmitz BL, Pauls S, Schick M, Röhrer S, Kapapa T, Schlötzer W (2011) Variations of the aortic arch—a study on the most common branching patterns. Acta Radiol 52(7):738–742CrossRefPubMed Müller M, Schmitz BL, Pauls S, Schick M, Röhrer S, Kapapa T, Schlötzer W (2011) Variations of the aortic arch—a study on the most common branching patterns. Acta Radiol 52(7):738–742CrossRefPubMed
13.
Zurück zum Zitat Natsis KI, Tsitouridis IA, Didagelos MV, Fillipidis AA, Vlasis KG, Tsikaras PD (2009) Anatomical variations in the branches of the human aortic arch in 633 angiographies: clinical significance and literature review. Surg Radiol Anat 31(5):319–323CrossRefPubMed Natsis KI, Tsitouridis IA, Didagelos MV, Fillipidis AA, Vlasis KG, Tsikaras PD (2009) Anatomical variations in the branches of the human aortic arch in 633 angiographies: clinical significance and literature review. Surg Radiol Anat 31(5):319–323CrossRefPubMed
14.
Zurück zum Zitat Nayak SR, Pai MM, Prabhu LV, D’Costa S, Shetty P (2006) Anatomical organization of aortic arch variations in the India: embryological basis and review. J Vasc Bras 5(2):95–100CrossRef Nayak SR, Pai MM, Prabhu LV, D’Costa S, Shetty P (2006) Anatomical organization of aortic arch variations in the India: embryological basis and review. J Vasc Bras 5(2):95–100CrossRef
15.
Zurück zum Zitat Ogeng’o JA, Olabu BO, Gatonga PM, Munguti JK (2010) Branching pattern of aortic arch in a kenyan population. J Morphol Sci 27(2):51–55 Ogeng’o JA, Olabu BO, Gatonga PM, Munguti JK (2010) Branching pattern of aortic arch in a kenyan population. J Morphol Sci 27(2):51–55
16.
Zurück zum Zitat Patil ST, Meshram MM, Kamdi NY, Kasote AP, Parchand MP (2012) Study on branching pattern of aortic arch in Indian. Anat Cell Biol 45(3):203–206CrossRefPubMedPubMedCentral Patil ST, Meshram MM, Kamdi NY, Kasote AP, Parchand MP (2012) Study on branching pattern of aortic arch in Indian. Anat Cell Biol 45(3):203–206CrossRefPubMedPubMedCentral
17.
Zurück zum Zitat Piyavisetpat N, Thaksinawisut P, Tumkosit M (2011) Aortic arch branches’ variations detected on chest CT. Asian Biomed (Res Rev News) 5(6):817–823 Piyavisetpat N, Thaksinawisut P, Tumkosit M (2011) Aortic arch branches’ variations detected on chest CT. Asian Biomed (Res Rev News) 5(6):817–823
18.
Zurück zum Zitat Qi R, Sun L, Zhu J, Liu Y, Zheng J, Li C, Chang Q (2013) Total arch replacement in patients with aortic dissection with an isolated left vertebral artery. Ann Thorac Surg 9:36–40CrossRef Qi R, Sun L, Zhu J, Liu Y, Zheng J, Li C, Chang Q (2013) Total arch replacement in patients with aortic dissection with an isolated left vertebral artery. Ann Thorac Surg 9:36–40CrossRef
19.
Zurück zum Zitat Rekha P, Senthilkumar S (2013) A study on branching pattern of human aortic arch and its variations in South Indian population. J Morphol Sci 30(1):11–15 Rekha P, Senthilkumar S (2013) A study on branching pattern of human aortic arch and its variations in South Indian population. J Morphol Sci 30(1):11–15
20.
Zurück zum Zitat Shakeri A, Pourisa M, Deldar A, Goldust M (2013) Anatomic variations of aortic arch branches and relationship with diameter of aortic arch by 64-raw CT angiography. Pak J Biol Sci 16(10):496–500CrossRefPubMed Shakeri A, Pourisa M, Deldar A, Goldust M (2013) Anatomic variations of aortic arch branches and relationship with diameter of aortic arch by 64-raw CT angiography. Pak J Biol Sci 16(10):496–500CrossRefPubMed
21.
Zurück zum Zitat Shetty P, Nayak BS, D’Souza MR, Thangarajan R, Prabhu GS (2013) Variation in the morphology and branching pattern of the aortic arch: a case report. OA Case Rep 2(10):99 Shetty P, Nayak BS, D’Souza MR, Thangarajan R, Prabhu GS (2013) Variation in the morphology and branching pattern of the aortic arch: a case report. OA Case Rep 2(10):99
22.
Zurück zum Zitat Shin Y, Chung Y, Shin W, Im S, Hwang S, Kim BT (2008) A morphometric study on cadaveric aortic arch and its major branches in 25 Korean adults: the perspective of endovascular surgery. J Korean Neurosurg Soc 44(2):78–83CrossRefPubMedPubMedCentral Shin Y, Chung Y, Shin W, Im S, Hwang S, Kim BT (2008) A morphometric study on cadaveric aortic arch and its major branches in 25 Korean adults: the perspective of endovascular surgery. J Korean Neurosurg Soc 44(2):78–83CrossRefPubMedPubMedCentral
23.
Zurück zum Zitat Shiva Kumar GL, Pamidi N, Somayaji SN, Nayak S, Vollala VR (2010) Anomalous branching pattern of the aortic arch and its clinical applications. Singap Med J 51(11):182–183 Shiva Kumar GL, Pamidi N, Somayaji SN, Nayak S, Vollala VR (2010) Anomalous branching pattern of the aortic arch and its clinical applications. Singap Med J 51(11):182–183
24.
Zurück zum Zitat Snell RS (2007) Clinical anatomy by systems, 1st edn. Lippincott Williams and Wilkins, Philadelphia Snell RS (2007) Clinical anatomy by systems, 1st edn. Lippincott Williams and Wilkins, Philadelphia
Metadaten
Titel
Branching patterns of the aortic arch: a computed tomography angiography-based study
verfasst von
Ayman G. Mustafa
Mohammed Z. Allouh
Jamaledin H. Abu Ghaida
Ma’moon H. Al-Omari
Wafa’ A. Mahmoud
Publikationsdatum
23.06.2016
Verlag
Springer Paris
Erschienen in
Surgical and Radiologic Anatomy / Ausgabe 3/2017
Print ISSN: 0930-1038
Elektronische ISSN: 1279-8517
DOI
https://doi.org/10.1007/s00276-016-1720-z

Weitere Artikel der Ausgabe 3/2017

Surgical and Radiologic Anatomy 3/2017 Zur Ausgabe

Akuter Schwindel: Wann lohnt sich eine MRT?

28.04.2024 Schwindel Nachrichten

Akuter Schwindel stellt oft eine diagnostische Herausforderung dar. Wie nützlich dabei eine MRT ist, hat eine Studie aus Finnland untersucht. Immerhin einer von sechs Patienten wurde mit akutem ischämischem Schlaganfall diagnostiziert.

Screening-Mammografie offenbart erhöhtes Herz-Kreislauf-Risiko

26.04.2024 Mammografie Nachrichten

Routinemäßige Mammografien helfen, Brustkrebs frühzeitig zu erkennen. Anhand der Röntgenuntersuchung lassen sich aber auch kardiovaskuläre Risikopatientinnen identifizieren. Als zuverlässiger Anhaltspunkt gilt die Verkalkung der Brustarterien.

S3-Leitlinie zu Pankreaskrebs aktualisiert

23.04.2024 Pankreaskarzinom Nachrichten

Die Empfehlungen zur Therapie des Pankreaskarzinoms wurden um zwei Off-Label-Anwendungen erweitert. Und auch im Bereich der Früherkennung gibt es Aktualisierungen.

Fünf Dinge, die im Kindernotfall besser zu unterlassen sind

18.04.2024 Pädiatrische Notfallmedizin Nachrichten

Im Choosing-Wisely-Programm, das für die deutsche Initiative „Klug entscheiden“ Pate gestanden hat, sind erstmals Empfehlungen zum Umgang mit Notfällen von Kindern erschienen. Fünf Dinge gilt es demnach zu vermeiden.

Update Radiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.