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Identifying Aortic Arch Branching Variations Using Advanced Imaging Techniques.

Elisabeth M Mandler1, Moritz Horodecki-Tuchslau1,2, Johannes M Mittendorfer1

  • 1Center for Anatomy and Cell Biology, Medical University of Vienna, 1090 Vienna, Austria.

Medicina (Kaunas, Lithuania)
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Summary
This summary is machine-generated.

Aortic arch branching patterns show significant variation, with most cases following the typical configuration. Herbert Lippert

Keywords:
aortic archbranching patterncomputed tomography angiographyvariations

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Area of Science:

  • Anatomy
  • Radiology
  • Vascular Surgery

Background:

  • The aortic arch (AA) exhibits considerable branching pattern variability.
  • Anatomical variations of the AA can increase disease risk and intraoperative complications.
  • Early classifications, like Lippert's 1967 study, provide a foundation for understanding these variations.

Purpose of the Study:

  • To identify and classify aortic arch variations using modern imaging.
  • To compare current prevalence rates with historical data from Lippert's study.
  • To assess the clinical relevance of Lippert's classification in a contemporary Central European population.

Main Methods:

  • Retrospective analysis of 400 computed tomography angiography (CTA) scans.
  • Categorization of AA branching patterns according to Lippert's classification.
  • Statistical calculation of variation prevalence and comparison with historical data.

Main Results:

  • Typical AA branching observed in 75.5% of patients.
  • Brachiocephalic trunk variations were the second most common (19.5%).
  • Variations included left vertebral artery origin (4%), thyroidea ima artery (0.5%), and arteria lusoria (0.5%).

Conclusions:

  • Lippert's classification remains relevant for describing AA branching patterns in Central Europe.
  • While many variations have limited clinical impact, some pose risks during medical procedures.
  • Awareness of AA variations is crucial for effective patient management and surgical planning.