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Published on: March 8, 2019
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.
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.
Abstract:
The purpose of this study was to describe the frequency of the variations in the branching pattern of the aortic arch (AA) according to multidetector computed tomography (MDCT) imaging findings. MDCT images of 1136 consecutive patients who had undergone imaging of the chest were retrospectively examined. Eleven different branching patterns were observed. A left-sided AA with three major branches was seen in 74.4% of the patients. Bovine-type AA (21.1%) and independent origin of the left vertebral artery (3.7%) were the next two most common patterns.
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