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Aberrant right vertebral artery from descending thoracic aorta
Shivaprasad Babu Mukkannavar1, Sachin Anant Kuthe, Anand Kumar Mishra
1Advanced Cardiac Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, India. shivaprasad_2000@yahoo.com
The Annals of Thoracic Surgery
|September 3, 2013
Summary
A rare case of abnormal right subclavian and vertebral artery origin was found in a 2-year-old with congenital heart disease. This finding, originating from the descending thoracic aorta, is exceptionally uncommon.
Area of Science:
- Cardiovascular Medicine
- Pediatric Cardiology
- Embryology
Background:
- Congenital heart disease (CHD) with single ventricle physiology presents complex anatomical challenges.
- Vascular anomalies can occur in conjunction with complex CHD, impacting surgical and clinical management.
- The vertebral arteries typically arise from the subclavian arteries, with variations being uncommon.
Observation:
- A 2-year-old patient with cyanotic congenital heart disease and single ventricle physiology was evaluated.
- Cine-angiography revealed an abnormal origin of the right subclavian artery and right vertebral artery.
- The anomalous vessels originated distal to the left subclavian artery, specifically from the proximal descending thoracic aorta.
Findings:
- The right vertebral artery demonstrated an unusual origin directly from the proximal descending thoracic aorta.
- The anatomical course and origin of this rare vascular anomaly were detailed using cine-angiography.
- This case highlights a unique presentation of great vessel anomalies in a pediatric patient.
Implications:
- Understanding rare vascular variations is crucial for accurate diagnosis and treatment planning in pediatric cardiology.
- This case contributes to the literature on embryologic development of aortic arch anomalies.
- Recognition of such anomalies is vital for interventional and surgical procedures in patients with complex congenital heart disease.
Keywords:
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