A Study Of Variations In The Origin Of Vertebral Artery And Its Clinical Significance
DOI:
https://doi.org/10.7439/ijbar.v7i5.3290Keywords:
Carbohydrate, lead, anabasAbstract
Objectives: An understanding of anatomy is essential to surgeons and knowledge of variations is of practical importance. The anatomic and morphologic variations of great vessels are significant for diagnostic and surgical procedures in the neck and thorax region. Vertebral artery is a branch of subclavian artery, generally arising from the first part of subclavian artery on both the sides. Multiple variations in the origin of vertebral artery have been reported in the literature, most common being directly from the arch of aorta, as a branch of thyrocervical trunk, as a branch of common carotid or external carotid artery. Material and methods: Study was carried out among 30 formalin fixed cadavers procured from Dr. D.Y.Patil Medical College, to note down the variations in the origin of vertebral artery. Results: Origin of right vertebral artery was normal in all the cases while the left vertebral artery showed varied origin. Conclusions: Anomalous vertebral artery origins may predisposes an individual to cerebrovascular disorders.Downloads
References
Gray H. The Anatomical Basis of Clinical Practice. 40th ed. Susan Standring, Elsevier Churchill Livingstone; 2008. p. 447-449.
Dutta AK. Essentials of Human Anatomy Part 2. 5th ed. Kolkata: Current Books Internantional; 2009. p. 185-190.
Ligege P, Scholtz L. Rare variation in the origin of right vertebral artery. SA Journal of Radiology 2004; 8(1):34-35.
Lemke AJ, Benndorf G, Liebig T, Felix R. Anomalous origin of right vertebral artery: review of the literature and case report of the right vertebral artery origin distal to the left subclavian artery. AJNR 1999; 20:1318-1321.
Dasler EH, Anson BJ. Surgical anatomy of the subclavian artery and its branches Surgery Gynecology Obstetrics 1959; 108:149-174.
Bernardi L, Deton P. Angioghraphic study of a rare anomalous origin of the vertebral artery. Neuroradiology 1975; 9:43-47.
Nathan H, Seidel MR. The association of a retroesophageal right subclavian artery, a right sided terminating thoracic duct and a left vertebral artery of aortic origin. Anatomical and Clincalconsidersations. Anatomica 1983; 117:363-373.
Vicko G, Goran I, Damjan M, Sanja P. Anomalous origin of both vertebral arteries. Clinical Anatomy 1999; 12:281-284.
Komiyana M, Morikawa T, Nakajiman H, Nishikawa M, Yasui T. High incidence of arterial dissection associated with left vertebral artery of aortic origin. Neurology Medical Chir 2001; 41(1):8-11.
Liechty JD, Shields TW, Anson BJ. Variations pertaining to the aortic arches and their branches. Q Bull Northwest Univ Med Sch 1957; 31:136-143.
Lu J, Ebraheim NA. The vertebral artery: surgical anatomy. Orthopedics 1999; 22:1081-1085.
Struba WM, Leach JL, Tomsick TA. Left Vertebral Artery Origin from the Thyrocervical Trunk: A Unique Vascular Variant. American Journal of Neuroradiology 2006; 27:1155-1156.
Koenigsberg RA, Pereira L, Nair B, McMcorming D, Schwartzman R. Unusual vertebral artery origins: Examlpes and related pathology. Cathet Cardiovasc Intervent 2003; 59:244-250.
Fazan VPS, Caetano AG, Filho OAR.Annomalous origin and cervical course of the vertebral artery in the presence of a retroesophageal right subclavian artery. Clin Anat 2004; 17:354-357.
Yanik B, Conkbayir I, Keyik B, Hekimoglu B. A rare anomalous origin of right vertebral artery: findings on Doppler sonoghraphy. J Clin Ultrasound 2004; 32:211-214.
Palmar FJ. Origin of the right vertebral artery from the right common carotid artery: agiographic demonstration of three cases. Br J Radiol 1977; 50:185-187.
Yamazaki M et al. Anomalous vertebral artery at the craniovertebral junction in a patient with Down syndrome. J Neurosurg Spine 2004; 3:338-341.
Albayram S, Gailloud P, Wasserman BA. Bilateral Arch Origin of the Vertebral Arteries. American Journal of Neuroradiology 2002; 23:455-458.
Suresh R, Ovchinnikov N, McRae A. Variations in the branching pattern of the aortic arch in three Trinidadians. West Indian Med J. 2006; 55(5):351-352.
Panicker HK, Tarnekar A, Dhawane V, Ghosh SK. Anaomalous Origin of Left Vertebral Artery
Don Kim Y, Tae Yeo H, Dae ChoY. Anomalous Variations of the Origin and Course of Vertebral Arteries in Patients with Retroesophageal Right Subclavian Artery. J Korean Neurosurg Soc. 2009; 45(5):297
Bergman RA, Afifi AK, Miyauchi R. Illustrated Encyclopedia of Human Anatomic Variation: Opus II: Cardiovascular System: Arteries: Head, Neck, and Thorax. Available from: URL: http://www.anatomyatlases.org/AnatomicVariations/Cardiovascular/TextArteries
Manyama M, Rambau P,Gilyoma J, Mahalu W.A variant branching pattern of the Aortic Arch: a case report. Journal of Cadiothoracic Surgery 2011; 6:29.
Natsis K, Didagelous M, Noussios G, AdamopoulouA, Nikolaidou E, Paraskevas G. Combined anomalous origin of a left inferior thyroid artery and a left vertebral artery: a case report. Cases J 2009; 2:7400.
Loukas M, Louis RG Jr, Gaspard J, Fudalej M, Tubbs RS, Merbs W. A retrotracheal right subclavian artery in association with a vertebral artery and thyroideaima. Folia Morphol(Warsz).2006; 65(3):236-41.
Newton TH, Mani RL. The vertebral artery. Radiology of skull and brain 1974; 1659-1672.
Cairney. The anomalous right subclavian artery considered in the light of recent findings in arterial development; a note on tow cases of an unusual relation of the innominate artery to the trachea. J Anat 1925; 59:256-296.
Moore KL &Persaud TVN. The Devloping Human Cinically Oriented Embryology. 8th ed. 2008. p. 319-325.
Downloads
Published
Issue
Section
License
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (SeeThe Effect of Open Access).
How to Cite
