Frequency and imaging findings of variations in human aortic arch anatomy based on multidetector computed tomography

Zekiye Ruken Yuksekkaya Celikyay1, Ali Ekrem Koner, Fatih Celikyay

  • 1Radiology Department, Gaziosmanpasa University, Tokat, Turkey.

Clinical Imaging
|August 14, 2013
PubMed

Insights

This study analyzed aortic arch branching patterns using multidetector computed tomography (MDCT). The most common pattern was a left-sided aortic arch with three branches, observed in 74.4% of patients.

Area of Science:

  • Anatomy
  • Radiology
  • Cardiovascular Imaging

Background:

  • The aortic arch (AA) exhibits significant anatomical variations in its branching patterns.
  • Understanding these variations is crucial for accurate interpretation of cardiovascular imaging and surgical planning.

Purpose of the Study:

  • To determine the frequency of different aortic arch branching patterns.
  • To correlate these variations with findings from multidetector computed tomography (MDCT).

Main Methods:

  • Retrospective analysis of MDCT chest imaging data from 1136 consecutive patients.
  • Classification of observed aortic arch branching patterns into distinct types.

Main Results:

  • Eleven different aortic arch branching patterns were identified.
  • A standard left-sided aortic arch with three major branches was the most prevalent pattern (74.4%).
  • Bovine-type aortic arch (21.1%) and independent origin of the left vertebral artery (3.7%) were the next most common variations.

Conclusions:

  • Multidetector computed tomography is effective in visualizing and categorizing aortic arch branching variations.
  • The study provides a frequency distribution of common and uncommon aortic arch branching patterns in a large patient cohort.

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