A rare case of aortic arch variation complicated with multiple ruptured intracranial aneurysms

Wei Liu1, Jialu Li2, Baoyuan Zhou3

  • 1Department of Neurology, Lanzhou University Second Hospital, Lanzhou, China.

Vascular
|March 15, 2023
PubMed

Insights

A rare aortic arch variation with multiple ruptured intracranial aneurysms was observed. This anatomical anomaly may increase stroke risk by altering cerebral blood flow.

Area of Science:

  • Vascular anatomy
  • Neurology
  • Embryology

Background:

  • Aortic arch variations are known for cardiovascular implications.
  • Intracranial aneurysms pose significant neurological risks.

Observation:

  • A rare aortic arch variation presented with multiple ruptured intracranial aneurysms.
  • Specific atypical origins of the brachiocephalic trunk and left-sided great arteries were noted.

Findings:

  • This specific aortic arch anomaly and associated intracranial aneurysms have not been previously reported.
  • The variation involved isolated origins of the left common carotid artery, left vertebral artery, and left subclavian artery.

Implications:

  • Aortic arch variations can impact cerebral vessel structure and blood flow, potentially increasing stroke risk.
  • Third aortic arch degeneration is a proposed embryologic mechanism for certain aortic arch anomalies.
Abstract

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