成年人中的大动脉门分支模式的变化及其临床相关性:计算机断层血管学研究
Yashu Bhardwaj1, Brijendra Singh1, Rashmi Malhotra1
1Anatomy, All India Institute of Medical Sciences, Rishikesh, IND.
Cureus
|August 18, 2025
概括
大动脉的变化很常见,可能会导致呼吸障碍等症状. 了解这些分支模式异常对于手术规划和内血管程序至关重要.
科学领域:
- 人体解剖学 解剖学 解剖学
- 放射学 放射学是一门学科.
- 胚胎学 胚胎学
背景情况:
- 大动脉 (AA) 的分支模式变化源于复杂的胚胎发育.
- 这些变异很常见,往往无症状,但可以引起呼吸不良等症状,并使放射学解释复杂化.
研究的目的:
- 分析大动脉弧变化的类型和发生率.
- 评估这些变异在特定患者队列中的临床意义.
主要方法:
- 计算机断层扫描血管图像 (CTA) 用于分析105名患者.
- 进行了对大动脉门分支模式的详细检查.
主要成果:
- 观察到大动脉门分支模式的变化.
- 具体变异包括来自脑干的左常动脉 (40%) 和来自AA的左脊椎动脉 (25%).
- 在患有AA变异的患者中,观察到呼吸障碍 (15%) 等症状呈现.
结论:
- 这项研究是北印度喜马拉雅地区首次调查AA变异的研究.
- 意识到这些分支模式的变化对于内血管手术和心胸手术至关重要.
- 这些发现强调了识别解剖学变异对于患者安全和有效的医疗干预的重要性.
更多相关视频
06:02Anatomical Reconstructions of the Human Cardiac Venous System using Contrast-computed Tomography of Perfusion-fixed Specimens
Published on: April 18, 2013
11.9K
06:59Improved Registration of 3D CT Angiography with X-ray Fluoroscopy for Image Fusion During Transcatheter Aortic Valve Implantation
Published on: June 3, 2018
10.7K
相关概念视频
Aneurysm II: Clinical Manifestations and Diagnostic Studies
22
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
22
The Arch of Aorta
1.0K
The coronary arteries, originating from the ascending aorta, bifurcate from two sinuses located within the ascending aorta. Positioned just above the aortic semilunar valve, these sinuses house essential aortic baroreceptors and chemoreceptors, crucial for maintaining cardiac function. The left coronary artery and the right coronary artery branch off from the left posterior and anterior aortic sinuses, respectively.
Encircling the heart, the coronary arteries form a ring-like structure before...
Encircling the heart, the coronary arteries form a ring-like structure before...
1.0K
Aortic Regurgitation II: Clinical Features and Diagnostic Tests
52
Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...
52
Aneurysm I: Introduction
25
An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
25
The Aorta
1.4K
The aorta is the largest artery in the human body. It originates from the left ventricle of the heart and extends down to the abdomen, where it splits into two smaller arteries. Structurally, it can be divided into four main parts: the ascending aorta, the aortic arch, the thoracic aorta, and the abdominal aorta.
The average diameter of the aorta is approximately 2-3 cm, but the size can vary depending on the section of the aorta and the individual's age, sex, and body size. The aorta is...
The average diameter of the aorta is approximately 2-3 cm, but the size can vary depending on the section of the aorta and the individual's age, sex, and body size. The aorta is...
1.4K
Thoracic Aorta
725
The thoracic section of the aorta begins at the T5 vertebra and extends to the T12 level at the diaphragm, initially progressing through the mediastinum to the left of the spinal column. Throughout its course in the thoracic segment, the thoracic aorta emits various offshoots known collectively as visceral and parietal branches. The branches that predominantly supply blood to visceral organs are termed visceral branches and include bronchial, pericardial, esophageal, and mediastinal arteries,...
725
