Branching patterns of the aortic arch: a computed tomography angiography-based study
Ayman G Mustafa1, Mohammed Z Allouh2, Jamaledin H Abu Ghaida2
1Department of Anatomy, Faculty of Medicine, Jordan University of Science and Technology, P. O. Box: 3030, Irbid, 22110, Jordan. agmustafa@just.edu.jo.
Anatomical variations in aortic arch branching were studied in Jordanians using CT angiography. Approximately 38.8% of patients exhibited variations, with no significant difference between sexes.
Area of Science:
- Anatomy
- Radiology
- Vascular Surgery
Background:
- The aortic arch's branching pattern is crucial for blood supply to the head, neck, and upper limbs.
- Anatomical variations in these branches can impact surgical procedures and diagnostic interpretations.
- Understanding the prevalence of these variations in specific populations is essential for clinical practice.
Purpose of the Study:
- To investigate anatomical variations in the direct branches of the aortic arch in a Jordanian population.
- To determine the prevalence of these variations using contrast Computed Tomography (CT) angiography.
- To analyze the correlation between these variations and patient sex.
Main Methods:
- Analytical, retrospective study of 500 patients (209 females, 291 males).
- Data collected from CT angiography of the aortic arch performed between 2010 and 2014.
- Random sampling method used for patient selection.
Main Results:
- Six distinct patterns of aortic arch artery arrangement were identified in Jordanians.
- The classical branching pattern occurred in 61.2% of cases.
- Anatomical variations accounted for 38.8% of cases, with no significant sex-based correlation (p > 0.05).
Conclusions:
- Significant anatomical variations in aortic arch branching exist within the Jordanian population.
- These findings contribute novel data on the prevalence of aortic arch branching variations.
- Awareness of these variations is critical for angiography, aortic instrumentation, and surgeries of the supra-aortic arteries.
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