ANOMALOUS ORIGIN OF THE LEFT VERTEBRAL ARTERY. Origen anómalo de la arteria vertebral izquierda

Autores/as

  • Divya Premchandran Department of Anatomy, Kasturba Medical College, Bejai Campus, Mangalore, Manipal University
  • Sampath Madhyastha Department of Anatomy, Kasturba Medical College, Bejai Campus, Mangalore, Manipal University

DOI:

https://doi.org/10.31051/1852.8023.v5.n1.14050

Palabras clave:

aortic arch, cervical sympathetic chain, variations, arco de la aorta, cadena simpática cervical, variaciones

Resumen

Las variaciones de los principales vasos arteriales son de importancia clínica. La arteria vertebral (VA) normalmente surge de la arteria subclavia. El presente informe describe un origen anómalo de la arteria vertebral izquierda (LVA) desde el arco aórtico entre el origen de la subclavia izquierda y la arteria carótida común izquierda. Esta arteria cruzó superficialmente de medial a lateral el tronco simpático izquierdo. La VA izquierda y derecha entraban en los agujeros transversos de la quinta vértebra cervical. Aunque el origen anómalo de la VA es bien conocida, su origen y la entrada a través del foramen transversal y sus relaciones con tronco simpático son de importancia clínica y durante los procedimientos vasculares en la región de cabeza y cuello tales como los stent de arteria carótida o vertebral y las intervenciones intracraneales.

 

Variations of major arterial vessels are of clinical significance. The vertebral artery (VA) normally arises from the subclavian artery. The present report describes an anomalous origin of the left vertebral artery (LVA) from the aortic arch between the origin of the left subclavian and the left common carotid arteries. This artery was crossed superficially from medial to lateral by the left sympathetic trunk. The left and right VA entered the foramen on the transverse process of the fifth cervical vertebra. Though the anomalous origin of the VA is known, its origin and entry through the transverse foramen and its relations with sympathetic trunk are of importance during clinical and vascular procedures in the head and neck region like carotid artery stents, VA stents and intracranial interventions.

Descargas

Los datos de descargas todavía no están disponibles.

Citas

Bergman RA, Thompson SA, Afifi AK and Saadeh FA. 1988. The Compendium of Human Anatomic variation, Urban and Schwarzenberg, USA, 71-72

Bernardi L, Denton P 1975 Angiographic study of a rare anomalous origin of the vertebral artery. Neuroradiology 9:43-47

Civelek E, Karasu A, Cansever T, Hepgul K, Kiris T, Sabanci A, Canbolat A. 2008 Surgical anatomy of the cervical sympathetic trunk during anterolateral approach to cervical spine. Eur Spine J, 17: 991–995

Datta AK. 2010. Essentials of Human Embryology. 6th Ed. Current Books International, Kolkata, 183

Matula C, Trattnig S, Tschabitscher M, Day JD, Koos WT. 1997 The course of the prevertebral segment of the vertebral artery, anatomy and clinical significance. Surg Neurol.48:125-31

Kiray A, Arman C, Naderi S, Vencer M and Korman E.2005. Surgical anatomy of the cervical sympathetic trunk. Clinical Anatomy 18:179–185

Komiyama M, Morikawa T, Nakajima H, Nishikama M, Yasui T. 2001. High Incidence of arterial dissection associated with left vertebral artery of aortic origin Neurol Med Chir 41: 8-12

Lemke A, Benndorf G, Liebig T, and Felix R. 1999.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. Am J Neuroradiol 20: 1318 –1321

Ligege P, Scholtz L Rare. 2004. Variation in the origin of right vertebral artery. SAJ of Radiol 8: 34-35

Patasi B, Yeung A, Goodwin S, Jalali A. 2009. Anatomical variation of the origin of the left vertebral artery. International Journal of Anatomical Variations 2: 83–85

Poonam, Singla RK, Sharma T. 2010. Incidence of anomalous origins of vertebral artery – anatomical study and clinical significance. Journal of Clinical and Diagnostic Research 4: 2626-2631

Romanes GJ. 2005 Cunnigham’s manual of practical anatomy. Vol 3 Head, Neck and brain 15th ed. Oxford: Oxford University Press, 65-80

Rusu MC, Boşcu AL. 2010 Transverse subisthmic course of the innominate artery in an adult: detailed anatomy and additional variation. Folia Morphol (Warsz) 69:261-6.

Satti SR, Cerniglia CA, Koenigsberg RA. 2007. Cervical vertebral artery variations: an anatomic study. Am J Neuroradiol 28:976–80

Shiv Kumar GL, Pamidi N, Somayaji SN, Nayak S, Vollala V R. 2010. Anomalous branching pattern of the aortic arch and its clinical applications. Singapore Med J, 51: 182

Standring S. 2008. In Gray’s Anatomy -The Anatomical Basis of Clinical Practice 40 Ed, Churchill Livingstone, London, 449

Tubbs RS, Salter EG, Wellons JC 3rd, Blount JP, Oakes WJ. 2005 The triangle of the vertebral artery. Neurosurgery, 56: 252–255

Yamaki K, Saga T, Hirata T, Sakino M, Nohno M, Kobayashi S, Hirao T. 2006. Anatomical study of vertebral artery in Japanese adults. Anat Sci Int 8: 100-106.

Descargas

Publicado

2016-03-28

Cómo citar

Premchandran, D., & Madhyastha, S. (2016). ANOMALOUS ORIGIN OF THE LEFT VERTEBRAL ARTERY. Origen anómalo de la arteria vertebral izquierda. Revista Argentina De Anatomía Clínica, 5(1), 33–38. https://doi.org/10.31051/1852.8023.v5.n1.14050

Número

Sección

Presentación de Casos